Individual provider · Type 1 NPI

Kwanghwi Park, RN

Student in an Organized Health Care Education/Training Program · Sacramento, CA

NPI number 1407659360 Active

Practice location

2570 48th St
Sacramento, CA 95817-1541

Call (916) 734-2145 Map

Mailing address

15028 Cross Stone Dr
San Diego, CA 92127-4423

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Registered Nurse 163WC0200X95272857 (CA)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1407659360

Kwanghwi Park, RN's National Provider Identifier is 1407659360, issued on Mar 28, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Sacramento, CA. The record was last updated on Apr 26, 2025.