KAITLYN PARK (NPI# 1699387084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699387084 |
| Entity Type | Individual |
| Full Name | KAITLYN PARK |
| Practice Address |
111 Treasure Irvine CA 92602-1810 |
| Practice Telephone | 7143198844 |
| Mailing Telephone | 7143198844 |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-08-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
111 TREASURE |
| City | IRVINE |
| State | CA |
| Zip Code | 92602-1810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093288839 | Smart Talk | Clinic/Center | 116 Confederation Way, Irvine, CA 92602 | 2019-01-04 |
| 1336691047 | Ronald Romasoc | Registered Nurse | 22 Willowdale, Irvine, CA 92602 | 2016-10-28 |
| 1407303951 | Genesis Biomed, Inc. | Durable Medical Equipment & Medical Supplies | 3493 Irvine Blvd, #241, Irvine, CA 92602 | 2016-09-01 |
| 1699164350 | Jungmi Yeo | Acupuncturist | 16 Granada, Irvine, CA 92602 | 2015-01-20 |
| 1023439155 | Sunny Shih | Acupuncturist | 3 Kernville, Irvine, CA 92602 | 2013-12-16 |
| 1427317213 | Global Talent Therapy | Home Health | 146 Saint James, Suite 205, Irvine, CA 92602 | 2012-05-14 |
| 1366723793 | Patel Physical Therapy | Physical Therapist | 813 Monte Vista, Irvine, CA 92602 | 2011-08-30 |
| 1134419443 | Anthony Ritchie Chuang | Pediatrics | 635 Monte Vis, Irvine, CA 92602 | 2011-04-08 |
| 1528239571 | Fakirmohmed Mahmed Gosla | Physical Medicine & Rehabilitation | 15 Vacaville, Irvine, CA 92602 | 2008-03-18 |
| 1407071806 | Wei Chen Alex Tu | Dentist | 21 Willowhurst, Irvine, CA 92602 | 2007-04-13 |
| Find all providers in zip 92602 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356966972 | Kristin Nguyen | Student in an Organized Health Care Education/Training Program | 7 Primavera, Irvine, CA 92614-5313 | 2020-06-09 |
| 1245869023 | Harinee Jaganiyaa Maiyuran | Student in an Organized Health Care Education/Training Program | 41 Millgrove, Irvine, CA 92602-0121 | 2020-04-03 |
| 1457989626 | Jessica Ma | Student in an Organized Health Care Education/Training Program | 38 Malibu, Irvine, CA 92602-1037 | 2020-04-01 |
| 1316575483 | Jasmine Santos | Student in an Organized Health Care Education/Training Program | 2 Rosenblum, Irvine, CA 92602-2406 | 2020-04-01 |
| 1790313500 | Pooja Selvan | Student in an Organized Health Care Education/Training Program | 18962 Racine Dr, Irvine, CA 92603-3315 | 2020-03-28 |
| 1902461189 | Kristine Nguyen | Student in an Organized Health Care Education/Training Program | 56 Linhaven, Irvine, CA 92602-0783 | 2019-05-03 |
| 1588229991 | Ha Huynh | Student in an Organized Health Care Education/Training Program | 2501 Alton Pkwy Unit 2451, Irvine, CA 92606-4854 | 2019-05-01 |
| 1154802395 | Martha Kabasiita Sebina | Student in an Organized Health Care Education/Training Program | 13 Austin, Irvine, CA 92604-2549 | 2018-08-26 |
| 1972092674 | Kevin Kwangbin Yoon | Student in an Organized Health Care Education/Training Program | 74 Rosenblum, Irvine, CA 92602-2405 | 2018-05-08 |
| 1427545433 | Brittany Ann Urso | Student in an Organized Health Care Education/Training Program | Gottschalk Medical Plaza 1 Medical Plaza Drive, Irvine, CA 92697-2307 | 2018-04-16 |
| Find all providers in IRVINE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.