Individual provider · Type 1 NPI

Keon Young Park, MD, PhD

Pediatric Surgery Physician · San Diego, CA

NPI number 1922462571 Active

Practice location

3030 Childrens Way
San Diego, CA 92123-4232

Call (858) 966-7711 Map

Mailing address

3020 Childrens Way, MC5003
San Diego, CA 92123-4223

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000XA167193 (CA)
Pediatric Surgery Physician Primary 2086S0120XA167193 (CA)

Pediatric Surgery Physician: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

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About NPI 1922462571

Keon Young Park, MD, PhD's National Provider Identifier is 1922462571, issued on Apr 11, 2016. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in San Diego, CA. The record was last updated on Aug 27, 2026.