MINA PARK, AGNP-C
Nurse Practitioner
Active
Individual
NPI: 1417312406
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner | 363L00000X | Yes | 95002208 (CA) |
| Registered Nurse - Gerontology | 163WG0600X | No | 95002208 (CA) |
Frequently Asked Questions
NPI 1417312406 is the National Provider Identifier for MINA PARK, AGNP-C, a Nurse Practitioner provider located in Los Angeles, CA. This NPI was enumerated on December 18, 2015.
MINA PARK, AGNP-C practices at 8650 BELFORD AVE APT 225, Los Angeles, CA 90045.
Quick Facts
- NPI
- 1417312406
- Type
- Individual
- Enumerated
- Dec 18, 2015
- Last Updated
- Dec 18, 2015
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