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Kerry Park, M.D.
NPI 1962497149 · Specialist · Los Angeles, CA
Kerry Park, M.D. is a Specialist provider in Los Angeles, CA (NPI 1962497149).
Provider details
- NPI number
- 1962497149
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- G77252 (CA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1005 E Washington Blvd
Suite A-1
Los Angeles, CA 90021-3020
Phone: (323) 233-3100
Fax: (323) 233-4100
Street-level locationGet directions
Mailing address
2801 S San Pedro St
Los Angeles, CA 90011-2023
Registry dates
- Enumerated
- 2005-09-14
- Last updated
- 2019-04-05
Frequently asked questions
- What is Kerry Park's NPI number?
- Kerry Park's National Provider Identifier (NPI) is 1962497149, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kerry Park's specialty?
- Kerry Park is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Kerry Park located?
- Kerry Park's practice location on file with NPPES is 1005 E Washington Blvd, Los Angeles, CA 90021-3020.
- What is Kerry Park's phone number?
- The practice phone number listed in the NPPES registry for Kerry Park is (323) 233-3100.
- Is Kerry Park's NPI active?
- Yes — Kerry Park's NPI (1962497149) is active in the NPPES registry as of the last update on 2019-04-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.