NPI 1528205226

Kevin S Park MD INC

Organisation Specialist Downey, CA

Practice location

Address: 11411 Brookshire Ave Suite 200, Downey, CA 90241-4985
Phone: (562) 869-4421
Fax: (562) 869-3600

Authorised official

Name: Kevin Songchol Park
Title: President
Phone: (562) 869-4421

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence A67776 (CA)

Other Specialist providers in California →

Registry record

NPI: 1528205226
Entity type: Organization
NPI issued: 16 Jan 2009
Record last updated: 15 Oct 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.