Search › California › 207WX0200X
Ji-Kwan Park, MD, MPH
NPI 1619322898 · on the registry since 2016 · sole proprietor
Practice
- Address
- 1721 Technology Dr Dept 110
San Jose, CA 95110 - Phone
- (408) 436-1000
- Organisation at this address
- Kaiser Foundation Hospitals
Kaiser Foundation Health Plan IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 24
Additional practice sites
- 333 City Blvd W, Orange, CA
- 555 N 13th Ave, Upland, CA
Registry record
- Primary taxonomy
- 207WX0200X
207WX0200X
- Also registered as
- 207W00000X
207WX0200X - Licence states on file
- CA, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-08-14
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