Individual
DR. KENNETH PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5215 TORRANCE BLVD STE 210, TORRANCE, CA 90503-4009
(310) 316-6190
(310) 540-7362
Mailing address
5215 TORRANCE BLVD STE 210, TORRANCE, CA 90503-4009
(310) 316-6190
(310) 540-7362
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
TRN6888
FL
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
A108380
CA
Other
Enumeration date
05/31/2007
Last updated
10/31/2023
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