NPI 1013404623
Amy Kangme Park, DO
Practice location
- Address
- 11406 Loma Linda Dr, Loma Linda, CA 92354-3711
- Phone
- (909) 558-6277
Registered specialties (2)
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
Student in an Organized Health Care Education/Training Program
Registry record
- NPI
- 1013404623
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 18 Apr 2018
- Record last updated
- 18 Apr 2023
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.