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Contact Information

MARK C PARK, OD
6345 BALBOA BLVD
BUILDING 3, SUITE 250
ENCINO, CA91316-1519
 Phone: 818-344-3937
 Fax: 818-344-1229
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Corneal and Contact Management

152WC0802X 41 Optometry
 

Optometrist

152W00000X 41 Optometry
 

Vision Therapy

152WV0400X 41 Optometry
Indicates primary specialty

NPI Profile & details for MARK C PARK · (Male)

NPI Number 1720049034
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 03/28/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • CA License # 11381T
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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