Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alice J Park, MD

Individual provider Nephrology Physician · NPI 1649336298

Alice J Park, MD is a Nephrology in Long Beach, California. Graduated from Saint Louis University School of Medicine in 2003, 23 years ago. Practices with Healthcare Partners Affiliates Medical Group, a 790-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
23
Trained at
Saint Louis University School of Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3780 Kilroy Airport Way Ste 115
Long Beach, CA 90806
Phone: (562) 595-7426
Fax: (562) 989-3054
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence A90337 (CA)

Record details

NPI number1649336298
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 28, 2006
Last updated in NPPESAugust 13, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice Healthcare Partners Affiliates Medical Group — 790 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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