HomeNPI Verification

NPI Verification

National Provider Identifier: 1366795106

Edward J Park, D.o.

Individual Provider

Credentials

D.O.

Primary Specialty

Urology

Code: 208800000X

All Specialties (2)

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Urology

Code: 208800000X

Primary

Practice Address

3771 KATELLA AVE STE 210

LOS ALAMITOS, CA 907203118

Phone: 562-430-0581

NPI Enumeration Date

October 17, 2012

NPI Number

1366795106

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry