Wai K Park
Clinical Genetics (M.D.)
1500 Duarte Rd
Duarte
, California 91010-3012
Wai K Park
Clinical Genetics (M.D.)
1500 Duarte Rd
Duarte
, California 91010-3012
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About
Features
Specialties
- Clinical Genetics (M.D.)
Languages spoken
- English
Location
First Address
- Wai K Park
- Po Box 512185
- Los Angeles, CA
- Zip : 90051-0185
- Phone :
Second Address
- Wai K Park
- 1500 Duarte Rd
- Duarte, CA
- Zip : 91010-3012
- Phone : (626) 256-4673
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207SG0201X | Clinical Genetics (M.D.) | 20A15213 | CA |
National Provider Identifier
| NPI | 1871970541 |
|---|---|
| Provider Name | Wai K Park |
| First Address | Los Angeles, CA 90051-0185 |
| Second Address | Duarte, CA 91010-3012 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/05/2015 |
| Last Update Date | 14/12/2020 |
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.