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

Individual provider Orthopaedic Surgery Physician · NPI 1093823494

Kevin S. Park, MD is an Orthopedic Surgery in Downey, California. Graduated from Boston University School of Medicine in 1994, 32 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
32
Trained at
Boston 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

11525 Brookshire Ave Ste #201
Downey, CA 90241-4985
Phone: (562) 869-4421
Fax: (562) 869-3600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence A67776 (CA)

Record details

NPI number1093823494
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 26, 2006
Last updated in NPPESJanuary 14, 2016

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Also practisesPHYSICAL MEDICINE AND REHABILITATION
Medical schoolBOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 1994 (32 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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