Richard Park Medical Group Apc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

RICHARD PARK MEDICAL GROUP APC

Practice address

7535 Laurel Canyon Blvd
North Hollywood, CA 91605-3149

Phone

(818) 850-2960

Fax

(818) 747-2800

NPI assigned

Oct 6, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Richard Park, MD

Title

Owner/Medical Director

Phone

(818) 850-2960

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1386241040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7535 LAUREL CANYON BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916053149",
            "telephone_number": "818-850-2960",
            "fax_number": "818-747-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7535 LAUREL CANYON BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916053149",
            "telephone_number": "818-850-2960",
            "fax_number": "818-747-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD PARK MEDICAL GROUP APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "818-850-2960",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A111560",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rheumatology Associates
• Kamiar Riahi, DC
• Daniel Jacob Riboh, PA-C
• Stephanie Krysten Ricaldi
• Terry Patrick Rich, D.C.
• Natalie Anna Richards
• Todd Lincoln Richards, CADC-1
• Elizabeth Richardson, M.S.
• Alison Jane Ridgway, LVN
• Suzanne Leslie Rieber, CLD CAPPA

• General Practice Physician in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.