Kyung Sook Park, MD
Pediatrics · San Jose
- Medicare standing
- 2 flags on the record
- Listed below.
- Plans that list them
- Not verified
- Not the same as out of network.
- Office
- 1
On the public record
- Medicare does not list them as allowed to order and refer
- California licence: Delinquent
Offices
1 location
Plan participation
Not verified
We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Park’s office at (408) 293-3333 to ask if they take your plan before you enroll.
California Medical Board record
Licence A36838 · Delinquent
Licence status: Delinquent · since 1981 · expires 2023-02-28 · Ewha Womans University College of Medicine.
License renewal fee has not been paid. No practice is permitted.
No disciplinary actions, convictions, malpractice judgments or citations in this record.
Professional record
- NPI
- 1649287152
- Licence
- CA A36838California A36838: Delinquent · expires 2023-02-28
More record details
- Sole proprietor
- Yes
- Taxonomy
- Pediatrics (208000000X)
- Mailing address
- 3484 Stevens Creek Blvd, Suite D, San Jose, CA, 95117
- NPI first listed
- 2006-08-01
- NPI last updated
- 2020-12-18
- NPI record certified
- 2020-12-17
This is when the NPI record was last certified, not a medical board exam.