NPI 1063332534

Richard Park, MD a Professional Corporation

Organisation General Practice Physician Granada Hills, CA

Practice location

Address: 10515 Balboa Blvd STE 325, Granada Hills, CA 91344-6364
Phone: (805) 368-1293

Authorised official

Name: Chelsea Ember
Title: Director
Phone: (615) 522-4079

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in California →

Registry record

NPI: 1063332534
Entity type: Organization
NPI issued: 16 Jul 2026
Record last updated: 16 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.