Joseph Kim Park
Medical Specialty
Professional ID
- NPI: 1982886412
- PECOS ID: 1355490731
- Enrollment ID: I20090728000352
- Credential(MD, DO, DPM):
- Medical School: California College Podiatric Medicine
- Medical School Graduation Year: 2006
Hospital Service
- Hospital CCN1: 050235
- Business Name (LBN)1: Providence Saint Joseph Medical Ctr
Medical Practices
- Organization Name: Burbank Foot Care Center, Inc. A Podiatry Group
- Group Practice ID assigned by PECOS: 8921074592
- Number of Group Practice member: 3
Location
- Address1: 191 S Buena Vista St
- Address2: Suite 315
- City: Burbank
- State: California
- Zip Code: 91505
- Phone Number: (818)848-5586
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):