Healthcare Provider Details

I. General information

NPI: 1447123526
Provider Name (Legal Business Name): RPMD MEDICAL, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2025
Last Update Date: 03/05/2026
Certification Date: 03/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2845 COCHRAN ST STE B
SIMI VALLEY CA
93065-7905
US

IV. Provider business mailing address

2845 COCHRAN ST STE B
SIMI VALLEY CA
93065-7905
US

V. Phone/Fax

Practice location:
  • Phone: 805-504-1904
  • Fax:
Mailing address:
  • Phone: 805-504-1904
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: RICHARD PARK
Title or Position: OWNER
Credential: MD
Phone: 818-835-7355