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Kevin Park
Student in an Organized Health Care Education/Training Program in Orange, California
NPI 1619462314

Kevin Park is a Student in an Organized Health Care Education/Training Program based in Orange, CA. Kevin Park practices in Orange, CA. The NPI Number for Kevin Park is 1619462314 and holds a License No. (California).

The current practice location address for Kevin Park is 333 City Blvd W Ste 2150, Orange, CA and can be reached out via phone at 714-456-6661.

Location: 333 City Blvd W Ste 2150, Orange, CA, 92868-5920
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619462314
Provider Name
Kevin Park
Credential
Provider Entity Type
Individual
Gender
Male
Address
333 City Blvd W Ste 2150, Orange, CA, 92868-5920
Phone Number
714-456-6661
Fax Number
Provider Enumeration Date
06/25/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
333 City Blvd W Ste 2150
City
Orange
State
California
Zip
92868-5920
Phone Number
714-456-6661
Fax Number
person
Provider Business Mailing Address Details
Address
333 City Blvd W Ste 2150
City
Orange
State
California
Zip
92868-5920
Phone Number
714-456-6661
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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