Jessica G. Park in Lancaster - Physician Assistant

Jessica G. Park - NPI 1851568380

Jessica G. Park is a Physician Assistant in Lancaster, California. Jessica G. Park practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jessica G. Park is 1851568380. The last update date is 2013-01-02.

Jessica G. Park's current location address is 1600 W Avenue J, Lancaster, California. You can contact this provider via phone number 6617266225 and fax number 6614493019. The mailing address for Jessica G. Park is 1600 W Avenue J, Lancaster, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Jessica G. Park
Address 1600 W Avenue J, Lancaster, California
Phone Number 6617266225
Fax Number 6614493019
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1851568380
Provider Enumeration Date 2008-05-14
Last Updated Date 2013-01-02

Provider Mailing Address Detail

Address 1600 W Avenue J
City Lancaster
State California (CA)
Post Code 935342814
Phone Number 6617266225
Fax Number 6614493019

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 21012
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Jessica G. Park

What is the Jessica G. Park's unique identification number?

The Jessica G. Park has been assigned the NPI (National Provider Identifier) Number 1851568380 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Jessica G. Park's facilities are geographically located?

The facilities of Jessica G. Park are physically situated at the following location: 1600 W Avenue J, Lancaster, CA, 935342814.

What is the Jessica G. Park's specialty and taxonomy code?

The Jessica G. Park's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.

On what date did the Jessica G. Park receive its 1851568380 assignment from the Centers for Medicare & Medicaid Services?

The Jessica G. Park was assigned its 1851568380 by the Centers for Medicare & Medicaid Services on 2008-05-14.

As of what date was the information pertaining to Jessica G. Park, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jessica G. Park, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-01-02.

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