National Provider Identifier Database

DEBORA L PARK
Radiologic Technologist

A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.


Contact Information

DEBORA L PARK
6135 KING ROAD
SUITE A
LOOMIS, CA95650-8877
Phone: 916-652-0427
Fax: 916-652-4197
Website:
Specialty Taxonomy Code
* Radiologic Technologist 247100000X

* Indicates primary specialty

NPI Profile & details for DEBORA L PARK

NPI Number 1538179619
Credentials
Entity Individual
Enumeration date 08/09/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 No
Identifiers
  • CA License #: RHP72501
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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