IndividualActive
Alice Park, M.D.
NPI 1649336298 · Nephrology Physician · Long Beach, CA
Provider details
- NPI number
- 1649336298
- Entity type
- Individual
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- A90337 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3780 Kilroy Airport Way Ste 115
Long Beach, CA 90806
Phone: (562) 595-7426
Fax: (562) 989-3054
Approximate (ZIP-level) locationGet directions
Mailing address
3780 Kilroy Airport Way
Long Beach, CA 90806-2457
Registry dates
- Enumerated
- 2006-12-28
- Last updated
- 2018-08-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.