Keith Park
Keith Park is a Driver in Carson, California. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 4
Practice location Address checks out
22570 Firenze StCarson, CA 90745-3635
Phone: (310) 351-0942
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Non-emergency Medical Transport (VAN) (primary) | Taxonomy 343900000X |
|---|---|
| Driver | Taxonomy 172A00000X |
| Private Vehicle | Taxonomy 347C00000X |
| Transportation Broker | Taxonomy 347E00000X |
Record details
| NPI number | 1285404541 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 8, 2024 |
| Last updated in NPPES | January 8, 2024 |
| Certification date | January 6, 2024 |
| Mailing address | 22570 Firenze St, Carson, CA 90745-3635 |
Other providers in Carson
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MS. Juanita Mesa Blas, MS
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Sterling Graham
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Fe Teniente Villaflor
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