Most Relevant Information
Provider Data
| NPI Number: | 1003424425 |
| Provider Name: | HANNA PARK |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 9514052 |
Most Important Dates
| Enumeration Date: | 07/22/2020 |
| Last Updated: | 05/07/2024 |
Provider Practice Location
7204 FOOTHILL BLVD
TUJUNGA
CA
910422719
Practice Location Phone/Fax
| Phone: | 8183528333 |
| Fax: |
Provider Mailing Location
3471 W CENTURY BLVD
INGLEWOOD
CA
903031218
Provider Mailing Phone/Fax
| Phone: | 3106959927 |
| Fax: |