Renee E Park
Pediatric Otolaryngology
9961 Sierra Ave
Fontana
, California 92335-6720
Renee E Park
Pediatric Otolaryngology
9961 Sierra Ave
Fontana
, California 92335-6720
(877) 608-0044
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About
Features
Specialties
- Pediatric Otolaryngology
Languages spoken
- English
Location
First Address
- Renee E Park
- 9961 Sierra Ave
- Fontana, CA
- Zip : 92335-6720
- Phone : (877) 608-0044
Second Address
- Renee E Park
- 9961 Sierra Ave
- Fontana, CA
- Zip : 92335-6720
- Phone : (909) 427-5000
Reviews
FAQs
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What type of doctor is Renee E Park
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Where is Renee E Park ’s practice located?
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Is Renee E Park a sole practitioner?
Is Renee E Park accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YP0228X | Pediatric Otolaryngology | A135401 | CA |
| N | 207YP0228X | Pediatric Otolaryngology | MD454696 | PA |
National Provider Identifier
| NPI | 1205079910 |
|---|---|
| Provider Name | Renee E Park |
| First Address | Fontana, CA 92335-6720 |
| Second Address | Fontana, CA 92335-6720 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/04/2009 |
| Last Update Date | 29/11/2021 |
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.