Joe Park is a Pain Medicine in Victorville, California. Joe Park practices all healthcare services and medical treatments related to Pain Medicine. The NPI Number for Joe Park is 1083645832. The last update date is 2023-03-07.
Joe Park's current location address is 15447 W Sand St, Victorville, California. You can contact this provider via phone number 7608439679 and fax number 7602453618. The mailing address for Joe Park is 15447 W Sand St, Victorville, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joe Park |
|---|---|
| Address | 15447 W Sand St, Victorville, California |
| Phone Number | 7608439679 |
| Fax Number | 7602453618 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1083645832 |
|---|---|
| Provider Enumeration Date | 2006-07-06 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 15447 W Sand St |
|---|---|
| City | Victorville |
| State | California (CA) |
| Post Code | 923922904 |
| Phone Number | 7608439679 |
| Fax Number | 7602453618 |
Provider's Primary Taxonomy Detail
| Speciality | Pain Medicine |
|---|---|
| Taxonomy | 208Vp0000X |
| Licence No | A86588 |
|
Definition: Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and t |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A865880 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Joe Park by the Centers for Medicare & Medicaid Services?
The Joe Park has been issued the NPI (National Provider Identifier) 1083645832, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Joe Park is physically located?
The Joe Park is physically situated at the following address: 15447 W Sand St, Victorville, CA, 923922904.
What is Joe Park's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Joe Park's specialized field of practice is Pain Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 208Vp0000X.
When was the Joe Park's 1083645832 issued?
The Joe Park's 1083645832 was issued on 2006-07-06.
When was the information related to Joe Park most recently updated or refreshed?
The details pertaining to the Joe Park, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-03-07.