NPIMap

Organization Active NPI

KP Medical Corporation

  • Specialist
  • Los Angeles, CA
National Provider Identifier
1336311539
Registry record updated Feb 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
KP MEDICAL CORPORATION
Doing business as
Trinity OB/GYN
Practice address
1005 E Washington Blvd
Suite a-1
Los Angeles, CA 90021-3020
Phone
(213) 745-3636
Fax
(213) 745-3626
NPI assigned
Mar 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kerry Park, MDNPI 1962497149
Title
Owner
Phone
(213) 746-3636

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1005 E Washington Blvd
Suite a-1
Los Angeles, CA 90021-3020

Mailing address

1005 E Washington Blvd
Suite a-1
Los Angeles, CA 90021-3020
Phone (213) 745-3636

Other names 1

  • Trinity OB/GYN Doing business as

National Provider Directory

National Provider Directory

Locations

1005 E Washington Blvd
Ste A1
Los Angeles, CA 90021
Phone (213) 745-3636

1005 E Washington Blvd
#A1
Los Angeles, CA 90021
Phone (213) 745-3636

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329696000000",
    "number": "1336311539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 E WASHINGTON BLVD",
            "address_2": "SUITE A-1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900213020",
            "telephone_number": "213-745-3636",
            "fax_number": "213-745-3626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 E WASHINGTON BLVD",
            "address_2": "SUITE A-1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900213020",
            "telephone_number": "213-745-3636",
            "fax_number": "213-745-3626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KP MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2012-02-20",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-746-3636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity OB/GYN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.