Healthcare Provider Details

I. General information

NPI: 1902747728
Provider Name (Legal Business Name): CAROLYN PARKER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/04/2026
Last Update Date: 04/04/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

832 W HUNTINGTON DR
ARCADIA CA
91007-6682
US

IV. Provider business mailing address

3552 S GILES AVE UNIT 1S
CHICAGO IL
60653-1160
US

V. Phone/Fax

Practice location:
  • Phone: 626-538-7181
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: