DR. KITAE KEVIN PARK MD NPI 1437335361

NPI Information

NPI: 1437335361
Provider Name: DR. KITAE KEVIN PARK, MD
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

PECOS Registration: Yes

Address:
2251 W ROSECRANS AVE STE 21
COMPTON, CA
ZIP 90222
Phone: (424) 529-6755
Get Directions

DR. Kitae Kevin Park, MD is a pulmonary disease internal medicine in Compton, CA with 19 years of experience. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. DR. Kitae Kevin Park, MD NPI is 1437335361. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2251 W ROSECRANS AVE STE 21
COMPTON, CA
ZIP 90222-860
Phone: (424) 529-6755

The NPI 1437335361 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/10/2008 and was last updated on 3/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		C56093	CALIFORNIA	No
2	207RC0200X	Internal Medicine	Critical Care Medicine	16037	HAWAII	No
3	207RC0200X	Internal Medicine	Critical Care Medicine	C56093	CALIFORNIA	No
4	207RP1001X	Internal Medicine	Pulmonary Disease	16037	HAWAII	No
5	207RP1001X	Internal Medicine	Pulmonary Disease	C56093	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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