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

Kelly Park, MD

Individual provider Psychiatry Physician · NPI 1669934659

Kelly Park, MD is a Psychiatry Physician in Los Angeles, California. Licensed in California. Registered with an NPI since 2019.

Licensed in
CA
In the registry since
2019
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

222 S Hill St Fl 5
Los Angeles, CA 90012-3508
Phone: (213) 518-2074
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence A176127 (CA)

Record details

NPI number1669934659
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 1, 2019
Last updated in NPPESMarch 14, 2025
Certification dateMarch 14, 2025

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