Individual
KIWON PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
111 W VALENCIA DR, FULLERTON, CA 92832-2317
(858) 717-2545
Mailing address
111 W VALENCIA DR, FULLERTON, CA 92832-2317
(858) 717-2545
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95036452
CA
Other
Enumeration date
08/05/2025
Last updated
08/07/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us