IndividualActive
Agatha Park, M.D.
NPI 1407988165 · Specialist · Beverly Hills, CA
Provider details
- NPI number
- 1407988165
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 95-4263002 (CA)
Specialties & taxonomies
Other Service Providers
Practice location
245 S Crescent Dr
Beverly Hills, CA 90212-4001
Phone: (310) 550-7669
Fax: (310) 247-0950
Approximate (ZIP-level) locationGet directions
Mailing address
245 S Crescent Dr
Beverly Hills, CA 90212-4001
Registry dates
- Enumerated
- 2007-03-09
- Last updated
- 2011-03-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.