DR. ALICE S PARK M.D. NPI 1093722290

NPI Information

  • NPI: 1093722290
  • Provider Name: DR. ALICE S PARK, M.D.
  • Classification: Obstetrics & Gynecology - 207VE0102X
  • Specialization: Reproductive Endocrinology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9300 CAMPUS POINT DR
    MAIL CODE 0633
    LA JOLLA, CA
    ZIP 92037
  • Phone: (888) 309-8273

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NPI Details

DR. Alice S Park, M.D. is a reproductive endocrinology obstetrics gynecology in La Jolla, CA. The provider is an obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. DR. Alice S Park, M.D. NPI is 1093722290. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9300 CAMPUS POINT DR
MAIL CODE 0633
LA JOLLA, CA
ZIP 92037-300
Phone: (888) 309-8273

The NPI 1093722290 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 8/1/2006 and was last updated on 12/1/2021.

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
1207VE0102XObstetrics & GynecologyReproductive EndocrinologyA94437CALIFORNIAYes
2207V00000XObstetrics & GynecologyA94437CALIFORNIANo

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: 11/21/2025

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