Park, Keith

Park, Keith is an sole proprietor health care provider with primary practice located at 22570 Firenze St , Carson CA 90745-3635. He recently has 4 registered licenses in different health care specialties including Other Service Providers / Driver, Transportation Services / Private Vehicle, Transportation Services / Transportation Broker, Transportation Services / Non-emergency Medical Transport (VAN). Transportation Services / Non-emergency Medical Transport (VAN) is his primary health care specialty. Park, Keith can be contacted via phone (310) 351-0942.

Contact Information

Primary practice address
22570 Firenze St Carson CA 90745-3635
Phone: (310) 351-0942
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X
Transportation Services / Private Vehicle 347C00000X
Transportation Services / Transportation Broker 347E00000X
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X

Profile Details

NPI number 1285404541
LBN Legal business name Park, Keith
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2024
Last updated Jan 8th, 2024 - about 10 months 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.

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