DR. MOON SOO PARK M.D.
NPI 1104084912
Specialist in Hilo, HI

Q: What is Moon Park's NPI number?

The NPI number for Moon Park is 1104084912. It was assigned to this individual provider in the NPPES registry on May 29, 2008.

Q: What is Moon Park's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Moon Park was last updated on May 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 29, 2008

33 LANIHULI ST, HILO, HI 96720(808) 935-4814(808) 935-2518 Get Directions Write a Review

NPPES record last updated: May 29, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Moon Soo Park M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MOON SOO PARK M.D. (NPI 1104084912) is an individual specialist in Hilo, Hawaii, licensed in Hawaii (2093) and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1104084912

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. MOON SOO PARKCredential: M.D.

Location Address33 LANIHULI STHilo, HI 96720-4142

Mailing Address33 Lanihuli StHilo, HI 96720-4142 · (808) 935-4814 · Fax (808) 935-2518

Phone(808) 935-4814

Fax(808) 935-2518

Sole ProprietorYes

Enumeration DateMay 29, 2008

✔ NPI 1104084912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in HI · 2093

Definition

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.

33 LANIHULI ST, Hilo, HI 96720

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Other Identifiers 1

Medicare UPINE83829HI

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Moon Park's NPI number?

The NPI number for Moon Park is 1104084912. It was assigned to this individual provider in the NPPES registry on May 29, 2008.

Where is Moon Park located?

Moon Park practices at 33 Lanihuli St, Hilo, HI 96720. The listed phone number is (808) 935-4814.

What is Moon Park's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Moon Park was last updated on May 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.