KAITLYN PARK


Address: 111 Treasure, Irvine, CA 92602-1810
Phone: 7143198844

KAITLYN PARK (NPI# 1699387084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699387084
Entity Type Individual
Full Name KAITLYN PARK
Practice Address 111 Treasure
Irvine
CA 92602-1810
Practice Telephone 7143198844
Mailing Telephone 7143198844
Enumeration Date 2020-08-18
Last Update Date 2020-08-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 111 TREASURE
City IRVINE
State CA
Zip Code 92602-1810

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093288839 Smart Talk Clinic/Center 116 Confederation Way, Irvine, CA 92602 2019-01-04
1336691047 Ronald Romasoc Registered Nurse 22 Willowdale, Irvine, CA 92602 2016-10-28
1407303951 Genesis Biomed, Inc. Durable Medical Equipment & Medical Supplies 3493 Irvine Blvd, #241, Irvine, CA 92602 2016-09-01
1699164350 Jungmi Yeo Acupuncturist 16 Granada, Irvine, CA 92602 2015-01-20
1023439155 Sunny Shih Acupuncturist 3 Kernville, Irvine, CA 92602 2013-12-16
1427317213 Global Talent Therapy Home Health 146 Saint James, Suite 205, Irvine, CA 92602 2012-05-14
1366723793 Patel Physical Therapy Physical Therapist 813 Monte Vista, Irvine, CA 92602 2011-08-30
1134419443 Anthony Ritchie Chuang Pediatrics 635 Monte Vis, Irvine, CA 92602 2011-04-08
1528239571 Fakirmohmed Mahmed Gosla Physical Medicine & Rehabilitation 15 Vacaville, Irvine, CA 92602 2008-03-18
1407071806 Wei Chen Alex Tu Dentist 21 Willowhurst, Irvine, CA 92602 2007-04-13
Find all providers in zip 92602

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy 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.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356966972 Kristin Nguyen Student in an Organized Health Care Education/Training Program 7 Primavera, Irvine, CA 92614-5313 2020-06-09
1245869023 Harinee Jaganiyaa Maiyuran Student in an Organized Health Care Education/Training Program 41 Millgrove, Irvine, CA 92602-0121 2020-04-03
1457989626 Jessica Ma Student in an Organized Health Care Education/Training Program 38 Malibu, Irvine, CA 92602-1037 2020-04-01
1316575483 Jasmine Santos Student in an Organized Health Care Education/Training Program 2 Rosenblum, Irvine, CA 92602-2406 2020-04-01
1790313500 Pooja Selvan Student in an Organized Health Care Education/Training Program 18962 Racine Dr, Irvine, CA 92603-3315 2020-03-28
1902461189 Kristine Nguyen Student in an Organized Health Care Education/Training Program 56 Linhaven, Irvine, CA 92602-0783 2019-05-03
1588229991 Ha Huynh Student in an Organized Health Care Education/Training Program 2501 Alton Pkwy Unit 2451, Irvine, CA 92606-4854 2019-05-01
1154802395 Martha Kabasiita Sebina Student in an Organized Health Care Education/Training Program 13 Austin, Irvine, CA 92604-2549 2018-08-26
1972092674 Kevin Kwangbin Yoon Student in an Organized Health Care Education/Training Program 74 Rosenblum, Irvine, CA 92602-2405 2018-05-08
1427545433 Brittany Ann Urso Student in an Organized Health Care Education/Training Program Gottschalk Medical Plaza 1 Medical Plaza Drive, Irvine, CA 92697-2307 2018-04-16
Find all providers in IRVINE

Competitor

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City IRVINE
Zip Code 92602

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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