Dr. Wilson C Park is a Los Angeles, California based male chiropractor with 27 years of experience in General Chiropractor. He completed his graduation from Cleveland Chiropractic College - Los Angeles in 1997. He may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Dr. Wilson C Park as General Chiropractor is DC25166 in California. Dr. Wilson C Park is qualified as a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Complete Profile:
Dr. Wilson C Park speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
D.C.
Experience:
27+ years
Medical School Attended:
Cleveland Chiropractic College - Los Angeles
Graduation Year:
1997
Gender:
Male
Accepts Medicare Assignment:
May Accept
Practice Address:
2940 Westwood Blvd, Suite #1, Los Angeles, California, 90064-4145
Phone:
310-869-0536
Fax:
310-441-3727
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
8527114511
Enrollment ID:
I20090916000230
NPI Number:
1548337587
NPI Enumeration Date:
28 Nov, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Wilson C Park are as mentioned below.
License Number
Specialization
State
Status
DC25166
Chiropractor
California
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Wilson C Park such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
DC251660
Other
California
BLUE SHIELD OF CALIFORNIA
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2940 Westwood Blvd, Suite #1 Los Angeles, California
Zip:
90064-4145
Phone Number:
310-869-0536
Fax Number:
310-441-3727
Patients can reach Dr. Wilson C Park at 2940 Westwood Blvd, Suite #1, Los Angeles, California or can call to book an appointment on 310-869-0536. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.