Kiwon Park , FNP-C
Nurse Practitioner • Fullerton, CA
Professional Overview & Biography Verified Profile Summary
Kiwon Park, FNP-C is a certified Nurse Practitioner practicing in Fullerton, CA. With approximately 2 years of clinical experience since completing medical education in 2024, Kiwon Park delivers high-quality medical care to the local community at 111 W VALENCIA DR.
Kiwon Park does not directly accept Medicare assignment.
Practice Location & Contact Primary Location
111 W Valencia Dr
Fullerton, CA 928322317
Medicare Profile & Education
Other
2024
Not Specified
In-Person Only
Specialty Benchmarks & Practice Insights
Comparative analytics for Nurse Practitioner in Fullerton, CA
Practicing in Fullerton, CA (8378 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Clinical Seniority & Experience Comparison
Medical Specialties & State Licenses
CMS Verified: 2025-08-07NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
NPI status registered as active in NPPES database
Registered at 111 W VALENCIA DR, FULLERTON, CA 928322317 (Tel: 8587172545)
Registered at 111 W VALENCIA DR, FULLERTON, CA 928322317 (Tel: 8587172545)
Recorded as KIWON PARK, FNP-C
Nurse Practitioner (License #95036452 in CA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
111 W Valencia Dr
Fullerton, CA 928322317
Phone: 8587172545
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