Doctor Name: | MICHELLE PARK |
NPI Number: | 1841456027 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | A110500 |
Business Practice Address: | 1000 W Carson St Department Of Ob/gyn, Box 3 Torrance, CA - 905022004 |
Business Phone Number: | 3102223886 |
Business Fax Number: | 3107828148 |
Mailing Address: | 6041 Cadillac Ave, Department Of Ob/gyn, 4th Floor LOS ANGELES |
State: | CA |
Postal Code: | 900341702 |
Phone Number: | 3102957224 |
Fax Number: | |
NPI Enumeration Date: | 08/06/2008 |
NPI Last Update Date: | 08/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | A110500 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |