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KEVIN S PARK MD INC
NPI 1528205226
Specialist in Downey, CA

Active since January 16, 2009
11411 BROOKSHIRE AVE, SUITE 200, DOWNEY, CA 90241(562) 869-4421(562) 869-3600 Get Directions Write a Review

NPPES record last updated: October 15, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kevin S Park Md Inc NPPES

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

KEVIN S PARK MD INC (NPI 1528205226) is a healthcare organization registered as a specialist in Downey, California and active in the NPI registry since January 2009. The organization lists Kevin Songchol Park, President, as its authorized official.

NPPES Registry Identity

NPI1528205226
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameKEVIN S PARK MD INC
Location Address11411 BROOKSHIRE AVE, SUITE 200Downey, CA 90241-4985
Mailing Address11411 Brookshire Ave, Suite 200Downey, CA 90241-4985 · (562) 869-4421 · Fax (562) 869-3600
Phone(562) 869-4421
Fax(562) 869-3600
Organization SubpartNo
Authorized OfficialKevin Songchol ParkPresident · (562) 869-4421
Enumeration DateJanuary 16, 2009
Last NPPES UpdateOctober 15, 2010
✔ NPI 1528205226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A67776
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.
11411 BROOKSHIRE AVE, Downey, CA 90241
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Other Identifiers 2

Medicare UPING98129CA
Medicare PINBM382ACA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. NAZAR AL-BUSSAM MD
Internal Medicine
11411 BROOKSHIRE AVE, STE 503
DOWNEY, CA 90241
Los Angeles County (562) 861-8853
SALVATORE A. DANNA, M.D., A MEDICAL CORPORATION
Psychiatry & Neurology (Neurology)
11411 BROOKSHIRE AVE, SUITE 502
DOWNEY, CA 90241
Los Angeles County (562) 622-9975
KOUROSH KEVIN SHAMLOU M.D.
Orthopaedic Surgery
11411 BROOKSHIRE AVE, SUITE 200
DOWNEY, CA 90241
Los Angeles County (562) 869-4421
TILLEY APOTHECARIES INC.
Pharmacy (Community/Retail Pharmacy)
11411 BROOKSHIRE AVE, SUITE #107
DOWNEY, CA 90241
Los Angeles County (562) 923-1256
KOUROSH K SHAMLOU MD INC
Specialist
11411 BROOKSHIRE AVE, SUITE 200
DOWNEY, CA 90241
Los Angeles County (562) 869-4421
RAGAA Z ISKAROUS MD INC
General Practice
11411 BROOKSHIRE AVE, #201
DOWNEY, CA 90241
Los Angeles County (562) 869-1038
JAMES T HAGER PA-C
Physician Assistant
11411 BROOKSHIRE AVE, SUITE 205
DOWNEY, CA 90241
Los Angeles County (562) 622-0095
UNITED SLEEP CENTERS
Clinical Medical Laboratory
11411 BROOKSHIRE AVE, SUITE 505
DOWNEY, CA 90241
Los Angeles County (562) 622-1002

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 Kevin S Park MD Inc's NPI number?

The NPI number for Kevin S Park MD Inc is 1528205226. It was assigned to this organization in the NPPES registry on January 16, 2009.

Where is Kevin S Park MD Inc located?

Kevin S Park MD Inc is located at 11411 Brookshire Ave Suite 200, Downey, CA 90241. The listed phone number is (562) 869-4421.

What is Kevin S Park MD Inc'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 Kevin S Park MD Inc was last updated on October 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.