Peter Park
Dentist Anesthesiologist
246 W College St
Covina
, California 91723-1910
Peter Park
Dentist Anesthesiologist
246 W College St
Covina
, California 91723-1910
(423) 322-7394
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About
Features
Specialties
- Dentist Anesthesiologist
Languages spoken
- English
Location
First Address
- Peter Park
- 26061 Lawton Ave
- Loma Linda, CA
- Zip : 92354-3836
- Phone : (423) 322-7394
Second Address
- Peter Park
- 246 W College St
- Covina, CA
- Zip : 91723-1910
- Phone : (626) 966-2222
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223D0004X | Dentist Anesthesiologist | 64710 | CA |
National Provider Identifier
| NPI | 1992181598 |
|---|---|
| Provider Name | Peter Park |
| First Address | Loma Linda, CA 92354-3836 |
| Second Address | Covina, CA 91723-1910 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/08/2015 |
| Last Update Date | 05/08/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.