Individual
CAROLINE KIM PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5601 DE SOTO AVE, WOODLAND HILLS, CA 91367-6701
(818) 719-2115
Mailing address
5601 DE SOTO AVE, WOODLAND HILLS, CA 91367-6701
(818) 719-2115
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A119942
CA
Other
Enumeration date
04/04/2013
Last updated
03/01/2022
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