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Search › California › Clinical Social Worker

Kenneth Park

NPI 1255768974 · on the registry since 2013

Practice

Address
2372 Sterling Ave
San Bernardino, CA 92404
Phone
(310) 421-9405
Organisation at this address
Cajon Medical Group Pc
County Of San Bernardino
Inland Psychiatric Medical Group, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
Clinical Social Worker
1041C0700X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-02-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California