Individual provider · Type 1 NPI

Kerry Park, MD

Specialist · Los Angeles, CA

NPI number 1962497149 Active

Practice location

1005 E Washington Blvd, Suite A-1
Los Angeles, CA 90021-3020

Call (323) 233-3100 Map

Fax (323) 233-4100

Mailing address

2801 S San Pedro St
Los Angeles, CA 90011-2023

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XG77252 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

7 other providers at this address

Other specialist providers in Los Angeles

See all in Los Angeles →

About NPI 1962497149

Kerry Park, MD's National Provider Identifier is 1962497149, issued on Sep 14, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Los Angeles, CA. The record was last updated on Apr 5, 2019.