Kun Tae Park in Palo Alto - Pediatric Gastroenterology
Kun Tae Park - NPI 1174785968
Kun Tae Park is a Pediatric Gastroenterology in Palo Alto, California. Kun Tae Park practices all healthcare services and medical treatments related to Pediatric Gastroenterology. The NPI Number for Kun Tae Park is 1174785968. The last update date is 2021-10-08.
Kun Tae Park's current location address is 725 Welch Rd, Palo Alto, California. You can contact this provider via phone number 6504978000. The mailing address for Kun Tae Park is 725 Welch Rd, Palo Alto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kun Tae Park |
|---|---|
| Address | 725 Welch Rd, Palo Alto, California |
| Phone Number | 6504978000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD, MS |
NPI Number Detail
| NPI Number | 1174785968 |
|---|---|
| Provider Enumeration Date | 2008-07-02 |
| Last Updated Date | 2021-10-08 |
Provider Mailing Address Detail
| Address | 725 Welch Rd |
|---|---|
| City | Palo Alto |
| State | California (CA) |
| Post Code | 943041601 |
| Phone Number | 6504978000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Gastroenterology |
|---|---|
| Taxonomy | 2080P0206X |
| Licence No | A104493 |
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Definition: A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs comp |
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What is the unique identification code assigned to Kun Tae Park by the Centers for Medicare & Medicaid Services?
The Kun Tae Park has been issued the NPI (National Provider Identifier) 1174785968. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kun Tae Park?
The Kun Tae Park is situated at 725 Welch Rd, in the city of Palo Alto, state of CA, with the zip code 943041601.
What is Kun Tae Park's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kun Tae Park's area of specialization is Pediatric Gastroenterology, and the corresponding taxonomy code that categorizes this field of practice is 2080P0206X.
On what date did the Kun Tae Park receive its 1174785968 assignment from the Centers for Medicare & Medicaid Services?
The Kun Tae Park was assigned its 1174785968 by the Centers for Medicare & Medicaid Services on 2008-07-02.
As of what date were the Kun Tae Park's details last updated?
The information pertaining to the Kun Tae Park, including its address, specialty, and other details, was most recently updated on 2021-10-08.