Keon Min Park, M.D.
NPI 1902337793ActiveIndividual· Plastic Surgery· San Francisco, CA
Plastic Surgery (M.D.) in San Francisco, California, licensed in CA, with an NPI issued in March 2017. Enrolled in Medicare as practitioner - plastic and reconstructive surgery. Davol Inc. reported $150.00 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1902337793 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Mar 23, 2017 |
| Last updated in NPPES | Feb 27, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Plastic Surgery Primary | 208200000X | A160755 | CA |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Plastic and Reconstructive Surgery (CA) |
|---|
Industry payments (Open Payments)
- 2024$150.00 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Davol Inc. | $150.00 | 1 |
What the 2024 payments were for
- Food and Beverage$150.00 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other plastic surgeons in San Francisco
- 1003278102
- 1023196557
- 1194966416
- 1255623567
- 1255759320
- 1427001338
- 1437331360
- 1538127311
- 1538459888
- 1548348642
- 1588779870
- 1659339422
All 107 plastic surgeons in San Francisco · All plastic surgeons in California