National Provider Identifier Database

JOSEPH PARK, CPO – NPI #1700568284
Prosthetist

An individual skilled in the practice, making, use, and application to individual cases of an artificial substitute for a missing body part, such as an arm or leg, eye or tooth, used for functional or cosmetic reasons, or both


Contact Information

JOSEPH PARK, CPO
2727 W OLYMPIC BLVD STE 113
LOS ANGELES, CA90006-2641
Phone: 310-507-3681
Fax:
Website:
Specialty Taxonomy Code
* Prosthetist 224P00000X
Orthotist 222Z00000X

* Indicates primary specialty

NPI Profile & details for JOSEPH PARK

NPI Number 1700568284
Credentials CPO
Entity Individual
Enumeration date 08/03/2023
Last updated 08/09/2023 - About 3 years ago
Sole proprietor1 No
Identifiers
  • CA License #: C52271
  • CA License #: COA00648
Hospital affiliation n/a

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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