Kimberley Pak

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-17-26644

Practice address

6 Centerpointe Dr Ste 700
La Palma, CA 90623

Phone

(562) 455-4477

NPI assigned

Jul 20, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1500508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1972026953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 CENTERPOINTE DR STE 700",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906232545",
            "telephone_number": "562-455-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 CENTERPOINTE DR STE 700",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "90623",
            "telephone_number": "562-455-4477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12630 Brookhurst St Ste D",
            "address_purpose": "LOCATION",
            "city": "Garden Grove",
            "state": "CA",
            "postal_code": "928404800",
            "country_code": "US",
            "telephone_number": "909-952-2860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAK",
        "first_name": "KIMBERLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-20",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-17-26644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Enyinnaya Ozogu, FNP
• Jose Padilla
• Diana J Paik, ACUPUNCTURIST
• Painfree Physical Therapy Corp a Professional Corporation
• Carolyn Inhwa Pak, PHARMD
• Melanie Pamintuan, MPT
• Aditi Pampaniya, D.D.S
• Avni Bansi Pandya, MD
• Grace S Park, LAC, PH.D
• Ki Taek Park, LICAC OMD

• Behavior Analyst in La Palma, CA
• Providers in La Palma, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; 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.