Dr. Brian Kyu-Hong Park
Adult Reconstructive Orthopaedic Surgeon
25821 Vermont Ave
Harbor City
, California 90710-3518
Dr. Brian Kyu-Hong Park
Adult Reconstructive Orthopaedic Surgeon
25821 Vermont Ave
Harbor City
, California 90710-3518
(424) 251-7100
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About
Features
Specialties
- Adult Reconstructive Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Brian Kyu-Hong Park
- 25821 Vermont Ave
- Harbor City, CA
- Zip : 90710-3518
- Phone : (424) 251-7100
Second Address
- Dr. Brian Kyu-Hong Park
- 25821 Vermont Ave
- Harbor City, CA
- Zip : 90710-3518
- Phone : (424) 251-7100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | A141524 | CA |
National Provider Identifier
| NPI | 1477871655 |
|---|---|
| Provider Name | Dr. Brian Kyu-Hong Park |
| First Address | Harbor City, CA 90710-3518 |
| Second Address | Harbor City, CA 90710-3518 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/05/2010 |
| Last Update Date | 17/11/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.