DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JOSEPH PARK DPT

MEDICARE: JOSEPH PARK DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist39588CA

General Provider Information

NPI Number : 1760726574
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH PARK DPT
Provider Business Mailing Address
First Line : 12465 LEWIS STREET
Second Line : SUITE 101
City : GARDEN GROVE
State : CA
Zip : 92840-4658
Country : US
Telephone Number : 714-703-8477
Fax Number : 714-703-8157
Provider Business Practice Location Address
First Line : 12465 LEWIS STREET
Second Line : SUITE 101
City : GARDEN GROVE
State : CA
Zip : 92840-4658
Country : US
Telephone Number : 714-703-8477
Fax Number : 714-703-8157
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2012
Last Update Date : 05/23/2016

Similar Medicare Providers

1518895341 — JAVIANA MIRANDA
Practice Location Address:
12465 LEWIS ST STE 102
GARDEN GROVE, CA
92840-4658
Practice Phone: 714-750-9688
Practice Fax:
1144914359 — RYAN MADRIGAL
Practice Location Address:
12465 LEWIS ST STE 102
GARDEN GROVE, CA
92840-4658
Practice Phone: 855-223-7123
Practice Fax: 619-374-7134
1366927600 — MICHELLE NOERTKER
Practice Location Address:
12465 LEWIS ST STE 102
GARDEN GROVE, CA
92840-4658
Practice Phone: 855-223-7123
Practice Fax:
1366379281 — ISAIAH WOODWARD-NEWTON
Practice Location Address:
12465 LEWIS ST STE 102
GARDEN GROVE, CA
92840-4658
Practice Phone: 714-750-9688
Practice Fax:
1568594851 — MR. MARIO ENRIQUE RUIZ JR.
Practice Location Address:
12465 LEWIS ST STE 102
GARDEN GROVE, CA
92840-4658
Practice Phone: 949-833-2237
Practice Fax:
1346587631 — KELLI M BARUCH DPT
Practice Location Address:
12465 LEWIS STREET , SUITE 101
GARDEN GROVE, CA
92840-4658
Practice Phone: 714-703-8477
Practice Fax: 714-703-8157

Directions to “ JOSEPH PARK DPT” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.