IndividualActive
Peter Park, D.D.S.
NPI 1992181598 · Dental Anesthesiology · Covina, CA
Provider details
- NPI number
- 1992181598
- Entity type
- Individual
- Primary specialty
- Dental AnesthesiologyDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- License
- 64710 (CA)
Mailing address
26061 Lawton Ave
Loma Linda, CA 92354-3836
Registry dates
- Enumerated
- 2015-08-05
- Last updated
- 2015-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.