IndividualActive
Brian Park, M.D.
NPI 1215027008 · Diagnostic Radiology Physician · Washington, DC
Provider details
- NPI number
- 1215027008
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- C54964 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
Dilorezno Tricare Health Clinic
Federal Building 2, Rm 1345
Washington, DC 20370-0001
Phone: (703) 614-2726
Fax: (703) 614-1593
Approximate (ZIP-level) locationGet directions
Mailing address
18436 Roscoe Blvd
Northridge, CA 91325-4107
Registry dates
- Enumerated
- 2006-10-13
- Last updated
- 2021-11-18
- Certified
- 2021-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.