Provider Demographics
NPI:1356420301
Name:PARK, ESTHER (DO)
Entity type:Individual
Prefix:DR
First Name:ESTHER
Middle Name:
Last Name:PARK
Suffix:
Gender:F
Credentials:DO
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Other - Last Name:
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Mailing Address - Street 1:23141 MOULTON PKWY
Mailing Address - Street 2:SUITE 213
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-1251
Mailing Address - Country:US
Mailing Address - Phone:949-258-3741
Mailing Address - Fax:949-258-3742
Practice Address - Street 1:23141 MOULTON PKWY
Practice Address - Street 2:SUITE 213
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-1251
Practice Address - Country:US
Practice Address - Phone:949-258-3741
Practice Address - Fax:949-258-3742
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2015-05-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA2 OA 77342084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry