Provider Demographics
NPI:1386088698
Name:PARKER, JOHN ARLEN (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:ARLEN
Last Name:PARKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:10820 BEVERLY BLVD STE A5282
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90601-2576
Mailing Address - Country:US
Mailing Address - Phone:510-333-3560
Mailing Address - Fax:
Practice Address - Street 1:10820 BEVERLY BLVD STE A5282
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90601-2576
Practice Address - Country:US
Practice Address - Phone:704-340-7104
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-18
Last Update Date:2025-11-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY299383-12084N0400X
CODR.00624812084N0400X
MI43015004682084N0400X
TXS73092084N0400X
NMMD2020-05512084N0400X
NJ25MA106222002084N0400X
CAA1330502084N0400X
GA833552084N0400X
SCMD829102084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology