{"npi":"1669934659","type":"NPI-1","status":"active","name":{"display":"Kelly Park MD","other":[],"first":"KELLY","last":"PARK","credential":"MD"},"specialty":{"primary_taxonomy":"2084P0800X","primary_taxonomy_description":"Psychiatry","slug":"psychiatry","schema_org_specialty":"Psychiatric","all":[{"code":"2084P0800X","description":"Psychiatry","primary":true,"state":"CA","license":"A176127"}]},"addresses":[{"purpose":"LOCATION","street_1":"222 S HILL ST FL 5","city":"LOS ANGELES","state":"CA","postal_code":"900123508","country_code":"US","phone":"2135182074"},{"purpose":"MAILING","street_1":"2527 FARVIEW RD","city":"FULLERTON","state":"CA","postal_code":"928331519","country_code":"US"}],"license":{"state":"CA","number":"A176127"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20250501001163","type_code":"14-26","type_desc":"PRACTITIONER - PSYCHIATRY","state":"CA","pac_id":"9032540521"}]},"enumeration_date":"2019-04-01","last_updated":"2025-03-14","_meta":{"source":"NPPES","snapshot_date":"2025-03-14","doc_url":"https://findmynpi.com/api"}}