Park, Keon Young

Park, Keon Young is an individual health care provider with primary practice located at 3030 Childrens Way , San Diego CA 92123-4232. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Pediatric Surgery is her primary health care specialty. Park, Keon Young can be contacted via phone (858) 966-7711.

Contact Information

Primary practice address
3030 Childrens Way San Diego CA 92123-4232
Phone: (858) 966-7711
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X A167193 California
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X A167193 California

Profile Details

NPI number 1922462571
LBN Legal business name Park, Keon Young
Credentials M.D.,PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2016
Last updated Aug 27th, 2026 - about 2 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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