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RICHARD PARK M.D., A PROFESSIONAL CORPORATION
NPI 1982946323
Clinic/Center - Multi-Specialty in Granada Hills, CA

Active since March 25, 2013CLIA 05D2301598 · Waiver
10515 BALBOA BLVD STE 325, GRANADA HILLS, CA 91344(818) 678-9875(747) 200-2589 Get Directions Write a Review

NPPES record last updated: April 9, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Richard Park M.d., A Professional Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RICHARD PARK M.D., A PROFESSIONAL CORPORATION (NPI 1982946323) is a healthcare organization registered as a multi-specialty in Granada Hills, California and active in the NPI registry since March 2013. The organization holds a CLIA Waiver certificate valid through March 27, 2028 and lists Richard Park, Ceo/physician, as its authorized official.

NPPES Registry Identity

NPI1982946323
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameRICHARD PARK M.D., A PROFESSIONAL CORPORATION
Location Address10515 BALBOA BLVD STE 325Granada Hills, CA 91344-6364
Mailing Address2709 Rocky Point CtThousand Oaks, CA 91362-4943 · (805) 368-1293 · Fax (888) 981-8739
Phone(818) 678-9875
Fax(747) 200-2589
Organization SubpartNo
Authorized OfficialRichard ParkCeo/physician · (818) 678-9875
Enumeration DateMarch 25, 2013
Last NPPES UpdateApril 9, 2024
NPPES CertifiedApril 9, 2024
✔ NPI 1982946323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedClinic/Center · MethadoneTaxonomy 261QM2800X
10515 BALBOA BLVD STE 325, Granada Hills, CA 91344
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2301598

Richard Park MD A Professional Corporation · Granada Hills, CA
Active · expires Mar 27, 2028
CLIA Number05D2301598
Laboratory TypePhysician Office
Certificate Effective DateMarch 28, 2026
Certificate Expiration DateMarch 27, 2028
Laboratory DirectorRichard Park
Laboratory Phone(818) 678-9875
Laboratory LocationRichard Park MD A Professional Corporation10515 Balboa Blvd Ste 325, Granada Hills, CA 91344
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICHARD PARK, MD A PROFESSIONAL CORPORATION
General Practice
10515 BALBOA BLVD STE 325
GRANADA HILLS, CA 91344
Los Angeles County (805) 368-1293
DR. RICHARD PARK M.D.
Internal Medicine
10515 BALBOA BLVD STE 325
GRANADA HILLS, CA 91344
Los Angeles County (186) 789-8758
LLOYD K ITO,M.D,APC
Family Medicine
10515 BALBOA BLVD STE 325
GRANADA HILLS, CA 91344
Los Angeles County (818) 366-0565

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richard Park M.D., A Professional Corporation's NPI number?

The NPI number for Richard Park M.D., A Professional Corporation is 1982946323. It was assigned to this organization in the NPPES registry on March 25, 2013.

Where is Richard Park M.D., A Professional Corporation located?

Richard Park M.D., A Professional Corporation is located at 10515 Balboa Blvd Ste 325, Granada Hills, CA 91344. The listed phone number is (818) 678-9875.

What is Richard Park M.D., A Professional Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Richard Park M.D., A Professional Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2301598) is associated with this NPI, valid through March 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Richard Park M.D., A Professional Corporation was last updated on April 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.