DR. KEON YOUNG PARK M.D.,PH.D.
NPI 1922462571
Surgery - Pediatric Surgery in San Diego, CA
About Dr. Keon Young Park M.d.,ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KEON YOUNG PARK M.D.,PH.D. (NPI 1922462571) is an individual pediatric surgery provider in San Diego, California, licensed in California (A167193) and active in the NPI registry since April 2016.
NPPES Registry Identity
Specialties & Licenses 2
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
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 Keon Young Park's NPI number?
The NPI number for Keon Young Park is 1922462571. It was assigned to this individual provider in the NPPES registry on April 11, 2016.
Where is Keon Young Park located?
Keon Young Park practices at 3030 Childrens Way, San Diego, CA 92123. The listed phone number is (858) 966-7711.
What is Keon Young Park's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.
When was this NPI record last updated?
The NPPES record for Keon Young Park was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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. Keon Young Park, M.D.,PH.D. · NPI 1922462571
Pediatric Surgery physician in San Diego, California. Individual provider, active in the CMS NPPES registry since April 11, 2016.
## Identity
- **NPI:** 1922462571 (Entity type: Individual)
- **Enumerated:** April 11, 2016
- **Primary specialty:** Surgery - Pediatric Surgery · taxonomy 2086S0120X
- **State license:** A167193 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3030 CHILDRENS WAY, San Diego, CA 92123-4232
- **Phone:** (858) 966-7711
## Record status
- **NPPES last updated:** August 27, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1922462571) · Data from the CMS NPPES public registry.