Carolyn Park, DO
Pediatrics in Fresno, CA. Individual provider (NPI-1).
NPI number1154907830
StatusActive
Last updated in NPPESJul 14, 2025
Details
- NPI
- 1154907830
- Entity type
- Individual (NPI-1)
- Name
- Carolyn Park
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 22, 2021
- Certification date
- Jul 14, 2025
- Last updated
- Jul 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 20A22391 | CA | Yes |
Other names
- Carolyn Kim (Other Name)
Practice location
7300 N Fresno StFresno, CA 93720-2941
Phone 559-448-4500
Mailing address
7300 N Fresno StFresno, CA 93720-2941
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