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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1699387084

Kaitlyn Park is a Student in an Organized Health Care Education/Training Program in Irvine, California. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

111 Treasure
Irvine, CA 92602-1810
Phone: (714) 319-8844
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Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1699387084
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 18, 2020
Last updated in NPPESAugust 18, 2020
Certification dateAugust 18, 2020
Mailing address111 Treasure, Irvine, CA 92602-1810

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