Kiwon Park is a Fullerton, California based nurse practitioner. Active license number of Kiwon Park is 95036452 in California. Her current practice location is 111 W Valencia Dr, Fullerton. Patients can reach her at 858-717-2545. Kiwon Park is FNP-C and her NPI number (Unique professional ID assigned by NPPES) is 1346124864. Kiwon Park has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Kiwon Park speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Kiwon Park
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
FNP-C
Practice Address:
111 W Valencia Dr, Fullerton, California, 92832-2317
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1346124864
NPI Enumeration Date:
05 Aug, 2025
NPI Last Update On:
07 Aug, 2025
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kiwon Park are as mentioned below.
License Number
Specialization
State
Status
95036452
California
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Kiwon Park 111 W Valencia Dr, Fullerton, California
Zip:
92832-2317
Phone Number:
858-717-2545
Patients can reach Kiwon Park at 111 W Valencia Dr, Fullerton, California or can call to book an appointment on 858-717-2545.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.