MEDICARE: PAULA ANN PARK FNP, MSN, BSN, RN

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
1	363LF0000X	Family Nurse Practitioner	95012155	CA

General Provider Information

NPI Number	:	1801494398
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAULA ANN PARK FNP, MSN, BSN, RN

Provider Business Mailing Address
First Line	:	12270 HAVEN CIR
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92503-5982
Country	:	US
Telephone Number	:	714-773-2141
Fax Number	:

Provider Business Practice Location Address
First Line	:	29300 PORTOLA PKWY STE B
Second Line	:
City	:	LAKE FOREST
State	:	CA
Zip	:	92630-8741
Country	:	US
Telephone Number	:	714-773-2141
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/15/2020
Last Update Date	:	10/15/2020

Similar Medicare Providers

1003451535 — RUIZ ANESTHESIA INC
Practice Location Address:

29300 PORTOLA PKWY STE A
LAKE FOREST, CA
92630-8741

Practice Phone: 949-305-6336
Practice Fax:

1780224873 — RICHARD R MOY, D.P.M., INC
Practice Location Address:

29300 PORTOLA PKWY STE B
LAKE FOREST, CA
92630-8741

Practice Phone: 949-837-3338
Practice Fax:

1588396691 — MCGARRITY ANESTHESIA INC
Practice Location Address:

29300 PORTOLA PARKWAY , SUITE B
LAKE FOREST, CA
92630-8741

Practice Phone: 949-837-3338
Practice Fax: 949-716-2725

1609726751 — MISURGICAL MULTISPECIALTY MEDICAL GROUP
Practice Location Address:

29300 PORTOLA PKWY STE B
LAKE FOREST, CA
92630-8741

Practice Phone: 949-916-3134
Practice Fax: 949-612-0857

1104926856 — BERNARD FRANCOIS CHRISPHONTE RRT
Practice Location Address:

6862 HOULTON CIR
LAKE WORTH, FL
33467-8741

Practice Phone: 561-304-0598
Practice Fax:

1841381449 — JACQUELINE ELIZABETH HURTADO RRT
Practice Location Address:

6862 HOULTON CIR
LAKE WORTH, FL
33467-8741

Practice Phone: 561-304-0598
Practice Fax:

Directions to “ PAULA ANN PARK FNP, MSN, BSN, RN” 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.