Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH PARK, M.D.
ActiveDR. KENNETH PARK, M.D. is a Sports Medicine (Orthopaedic) healthcare provider located in TORRANCE, California. NPI 1881895316 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Orthopaedic) · TORRANCE, CA
Registration Details
- NPI Number
- 1881895316
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 31, 2007 (19.253048095641 yrs)
- Last Updated
- Oct 31, 2023
- Licenses
-
TRN6888 (FL)A108380 (CA)
Practice Information
- Address
-
5215 TORRANCE BLVD STE 210TORRANCE, CA, 905034009Browse CA providers · Browse ZIP 90503
- Phone
- 3103166190
- Fax
- 3105407362
- Primary Specialty
-
Sports Medicine (Orthopaedic)
207XX0004X
- Additional Specialty
- Sports Medicine (Orthopaedic)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.