Organization
KP MEDICAL CORPORATION
Active
Other names
Trinity OB/GYN
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KERRY PARK MD (OWNER)
(213) 746-3636
Entity
Organization
Contact information
Practice address
1005 E WASHINGTON BLVD, SUITE A-1, LOS ANGELES, CA 90021-3020
(213) 745-3636
(213) 745-3626
Mailing address
1005 E WASHINGTON BLVD, SUITE A-1, LOS ANGELES, CA 90021-3020
(213) 745-3636
(213) 745-3626
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/27/2008
Last updated
02/20/2012
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