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Contact Information

RENEE E PARK, M.D., M.P.H.
9961 SIERRA AVE
FONTANA, CA92335-6720
 Phone: 909-427-5000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Otolaryngology

207YP0228X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for RENEE E PARK · (Female)

NPI Number 1205079910
Status Active
Credentials M.D., M.P.H.
Entity Individual
Enumeration date 04/10/2009
Last updated 11/29/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A135401
  • PA License # MD454696
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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