DR. BRIAN LIM PARK MD
NPI 1710418744
Pediatrics - Pediatric Emergency Medicine in San Diego, CA
About Dr. Brian Lim Park Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BRIAN LIM PARK MD (NPI 1710418744) is an individual pediatric emergency medicine provider in San Diego, California, licensed in California (A188062) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Murrieta.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Brian Lim Park Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
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 Brian Park's NPI number?
The NPI number for Brian Park is 1710418744. It was assigned to this individual provider in the NPPES registry on March 22, 2017.
Where is Brian Park located?
Brian Park practices at 3020 Childrens Way, San Diego, CA 92123. The listed phone number is (858) 966-8800.
What is Brian Park's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.
Is Brian Park enrolled in Medicare?
Yes. Brian Park is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Brian Park was last updated on July 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Brian Lim Park, MD · NPI 1710418744
Pediatric Emergency Medicine physician in San Diego, California. Individual provider, active in the CMS NPPES registry since March 22, 2017.
## Identity
- **NPI:** 1710418744 (Entity type: Individual)
- **Enumerated:** March 22, 2017
- **Primary specialty:** Pediatrics - Pediatric Emergency Medicine · taxonomy 2080P0204X
- **State license:** A188062 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3020 CHILDRENS WAY, San Diego, CA 92123-4223
- **Phone:** (858) 966-8800
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** July 25, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1710418744) · Data from the CMS NPPES public registry.