{"npi":"1982946323","type":"NPI-2","status":"active","name":{"display":"Richard Park M.D., A Professional Corporation","other":[],"organization_name":"RICHARD PARK M.D., A PROFESSIONAL CORPORATION","authorised_official":"Richard Park"},"specialty":{"primary_taxonomy":"261QM1300X","primary_taxonomy_description":"Multi-Specialty Clinic/Center","slug":"multi-specialty-clinic-center","schema_org_specialty":null,"all":[{"code":"207R00000X","description":"Internal Medicine","primary":false,"state":null,"license":null},{"code":"261QM2800X","description":"Methadone Clinic","primary":false,"state":null,"license":null},{"code":"261QM1300X","description":"Multi-Specialty Clinic/Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"10515 BALBOA BLVD STE 325","city":"GRANADA HILLS","state":"CA","postal_code":"913446364","country_code":"US","phone":"8186789875","fax":"7472002589"},{"purpose":"MAILING","street_1":"2709 ROCKY POINT CT","city":"THOUSAND OAKS","state":"CA","postal_code":"913624943","country_code":"US","phone":"8053681293","fax":"8889818739"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20141020002638","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"CA","pac_id":"2163643966"}]},"enumeration_date":"2013-03-25","last_updated":"2024-04-09","_meta":{"source":"NPPES","snapshot_date":"2024-04-09","doc_url":"https://findmynpi.com/api"}}