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

Kerry Park, MD

Individual provider Specialist · NPI 1962497149

Kerry Park, MD is a Specialist in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2005
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

1005 E Washington Blvd Ste A-1
Los Angeles, CA 90021-3020
Phone: (323) 233-3100
Fax: (323) 233-4100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence G77252 (CA)

Record details

NPI number1962497149
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 14, 2005
Last updated in NPPESApril 5, 2019

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