Samuel A Park is a Specialist in Beverly Hills, . Samuel A Park practices all healthcare services and medical treatments related to Specialist. The NPI Number for Samuel A Park is 1902014566. The last update date is 2007-07-08.
Samuel A Park's current location address is 9301 Wilshire Blvd, Beverly Hills, . You can contact this provider via phone number 3107770490 and fax number 3102469422. The mailing address for Samuel A Park is 9301 Wilshire Blvd, Beverly Hills, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Samuel A Park |
|---|---|
| Address | 9301 Wilshire Blvd, Beverly Hills, |
| Phone Number | 3107770490 |
| Fax Number | 3102469422 |
| Sole Proprietor | N |
| Credentials | M.D |
NPI Number Detail
| NPI Number | 1902014566 |
|---|---|
| Provider Enumeration Date | 2007-05-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 9301 Wilshire Blvd |
|---|---|
| City | Beverly Hills |
| State | (CALIF) |
| Post Code | 90210 |
| Phone Number | 3107770490 |
| Fax Number | 3102469422 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | G67123 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the unique 10-digit identifier code issued to Samuel A Park by the Centers for Medicare & Medicaid Services?
The Samuel A Park has been assigned the NPI (National Provider Identifier) 1902014566 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Samuel A Park?
The Samuel A Park is situated at 9301 Wilshire Blvd, in the city of Beverly Hills, state of CALIF, with the zip code 90210.
What is Samuel A Park's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Samuel A Park is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
On what date was the 1902014566 assigned to Samuel A Park?
The Samuel A Park was issued its 1902014566 on 2007-05-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Samuel A Park most recently updated or revised?
The information pertaining to Samuel A Park, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.