Richard Park in Thousand Oaks - Internal Medicine

Richard Park - NPI 1174718134

Richard Park is a Internal Medicine in Thousand Oaks, California. Richard Park practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Richard Park is 1174718134. The last update date is 2017-05-15.

Richard Park's current location address is 215 W Janss Rd, Thousand Oaks, California. You can contact this provider via phone number 8054972727. The mailing address for Richard Park is 215 W Janss Rd, Thousand Oaks, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard Park
Address 215 W Janss Rd, Thousand Oaks, California
Phone Number 8054972727
Fax Number
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1174718134
Provider Enumeration Date 2007-09-12
Last Updated Date 2017-05-15

Provider Mailing Address Detail

Address 215 W Janss Rd
City Thousand Oaks
State California (CA)
Post Code 913601847
Phone Number 8054972727
Fax Number

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No A111560
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1174718134 NPI

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FAQs about Richard Park

What is the unique 10-digit identification code assigned to Richard Park by the Centers for Medicare & Medicaid Services?

The Richard Park has been issued the NPI (National Provider Identifier) 1174718134, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Richard Park is geographically located?

The Richard Park is physically situated at the following location: 215 W Janss Rd, Thousand Oaks, CA, 913601847.

What is the Richard Park's area of specialization and corresponding taxonomy classification?

The Richard Park's specialty field is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services issue the 1174718134 to Richard Park?

The Richard Park received its 1174718134 assignment from the Centers for Medicare & Medicaid Services on 2007-09-12.

As of what date were the details related to Richard Park most recently updated or revised?

The information pertaining to Richard Park, including its address, specialty, and other relevant details, was last updated or revised on 2017-05-15.

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