ALICE J. PARK M.D. – NPI #1649336298
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Health Care Provider Taxonomy Code for Internal Medicine

ALICE PARK is a physician located in LONG BEACH, CA. NPPES has assigned the NPI number 1649336298 to ALICE PARK on December 28, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was previously updated about 8 years ago on Aug 13, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ALICE PARK below.

NPI Profile for
ALICE J. PARK

NPI Number
1649336298
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
ALICE J. PARK
Credentials
M.D.
Primary location
3780 KILROY AIRPORT WAY STE 115
LONG BEACH, CA 90806
Phone: (562) 595-7426 Fax: (562) 989-3054
Mailing address
3780 KILROY AIRPORT WAY
SUITE 115
LONG BEACH, CA 90806-2457
Phone: (562) 595-7426 Fax: (562) 989-3054
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RN0300X
- Internal Medicine / Nephrology (Primary)		 CA A90337

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE - Graduated 2003
Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
ALICE PARK is affiliated with the following medical group(s):
  • HOSPITAL
    • LONG BEACH MEMORIAL MEDICAL CENTER
      2801 ATLANTIC AVE
      LONG BEACH, CA 90806
    • ST MARY MEDICAL CENTER
      1050 LINDEN AVE
      LONG BEACH, CA 90813
  • DIALYSIS FACILITY
    • DAVITA EL DORADO DIALYSIS
      2977 Redondo Avenue
      LONG BEACH, CA 90806
    • LONG BEACH QUEST DIALYSIS CENTER
      3140 Long Beach Blvd.
      Long Beach, CA 90807
    • U.S. RENAL CARE LONG BEACH DIALYSIS
      1045 Atlantic Avenue, Suite 108
      Long Beach, CA 90813
    • U.S. RENAL CARE WEST COAST DIALYSIS
      3780 Kilroy Airport Way, Suite 110
      Long Beach, CA 90806

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