Park, Kay Loren

Park, Kay Loren is an individual health care provider with primary practice located at 222 W Eulalia St Ste 110, Glendale CA 91204-2849. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Park, Kay Loren can be contacted via phone (818) 551-7127.

Contact Information

Primary practice address
222 W Eulalia St Ste 110 Glendale CA 91204-2849
Fax: (818) 551-7131
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X G81539 California

Profile Details

NPI number 1306814371
LBN Legal business name Park, Kay Loren
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Apr 17th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1306814371 NPPES
California MEDICAID GR0095000
California MEDICAID 00G815390
California MEDICAID 1811076342

Popular Providers