DR. PATRICK T PARK (NPI# 1215975594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215975594 |
| Entity Type | Individual |
| Full Name | DR. PATRICK T PARK |
| Credential | M.D. |
| Practice Address |
266 S Harvard Blvd 320 Los Angeles CA 90004-4372 |
| Practice Telephone | 2137391025 |
| Practice Fax Number | 2137399936 |
| Mailing Telephone | 2137391025 |
| Mailing Fax Number | 2137399936 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2017-01-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | G76980 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G769800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619269701 | Patrick Jung Park | Acupuncturist | 4239 Commercial Way, Glenview, IL 60025-3573 | 2011-05-06 |
| 1912169574 | Patrick Chiho Park | Anesthesiology | 700 West Ave S, La Crosse, WI 54601-4783 | 2008-06-25 |
| 1942354451 | Patrick C Park | Dentist | 984 Monument St, 208, Pacific Palisades, CA 90272-3857 | 2007-01-22 |
| 1912902313 | Patrick Young Park | Colon & Rectal Surgery | 13421 Old Meridian St, Ste 210, Carmel, IN 46032-1411 | 2005-06-14 |
| Street Address |
266 S HARVARD BLVD 320 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90004-4372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376542894 | Wonkyu Pak | Ophthalmology | 266 S Harvard Blvd, Suite 500, Los Angeles, CA 90004-4372 | 2005-07-18 |
| 1174079040 | Peter J. Chung, M.d. Inc. | Internal Medicine | 266 S Harvard Blvd, Suite 340, Los Angeles, CA 90004-4372 | 2016-08-30 |
| 1972980191 | Bethel Eye Center Medical Corporation | Ophthalmology | 266 S Harvard Blvd, Suite 500, Los Angeles, CA 90004-4372 | 2015-04-27 |
| 1871997122 | Bora Kim | Pharmacist | 266 S Harvard Blvd, Los Angeles, CA 90004-4372 | 2014-10-15 |
| 1801135728 | Anna Lee | Pharmacist | 266 S Harvard Blvd, Ste 120, Los Angeles, CA 90004-4372 | 2013-02-13 |
| 1952573362 | Jose C Recasas | Physical Therapist | 266 S Harvard Blvd, Suite 210, Los Angeles, CA 90004-4372 | 2008-03-25 |
| 1689846099 | Jose Recasas Physical Therapy, Inc. | Physical Therapist | 266 S Harvard Blvd, Suite 210, Los Angeles, CA 90004-4372 | 2008-03-25 |
| 1700057924 | Jimmy Bae Chiropractic Corporation | Chiropractor | 266 S Harvard Blvd, Suite 210, Los Angeles, CA 90004-4372 | 2008-03-15 |
| 1477737559 | Kang Ho Ku | Dentist | 266 S Harvard Blvd, 110, Los Angeles, CA 90004-4372 | 2007-12-24 |
| 1780891101 | Bryan H Chung Dental Corporation | Dentist | 266 S Harvard Blvd, #110, Los Angeles, CA 90004-4372 | 2007-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225504160 | Jessica M. Louie | Pharmacist | 590 North Vermont Avenue, Suite 334, Los Angeles, CA 90004 | 2018-10-18 |
| 1033615828 | Javier G Ibarra | Counselor | 3910 Oakwood Ave., Los Angeles, CA 90004 | 2018-04-02 |
| 1558804351 | Bhc Alhamba Hospital | Psychiatric Residential Treatment Facility | 115 N. Mccadden Place, Los Angeles, CA 90004 | 2016-11-28 |
| 1275907719 | Rozalin Banafsheian | Psychologist | 522 N. Larchmont, Los Angeles, CA 90004 | 2015-11-20 |
| 1104214196 | Estrellita Rubio Reyes | Pediatrics | 3908 Beverly Blvd., Los Angeles, CA 90004 | 2014-12-30 |
| 1760888226 | Hardy Ophuls | Marriage & Family Therapist | 439 N. Larchmont Bl., Los Angeles, CA 90004 | 2014-11-11 |
| 1528462991 | Latrice Nicole Hardison | Licensed Vocational Nurse | 225 N. Mariposa Ave, Los Angeles, CA 90004 | 2014-10-14 |
| 1215331947 | Shonn Bunn | Rehabilitation Practitioner | 433 N. Hoover, Los Angeles, CA 90004 | 2014-10-09 |
| 1609296581 | Michael Armen Kezian | Dentist | 581 N Larchmont Blvd, Los Angeles, CA 90004 | 2014-04-18 |
| 1427485549 | Kir Medical Group | Family Medicine | 123 177th Street, Los Angeles, CA 90004 | 2013-10-03 |
| Find all providers in zip 90004 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255801098 | Maria Elizabeth Botham | Specialist | 8250 W 3rd St Ste 203, Los Angeles, CA 90048-4327 | 2018-12-04 |
| 1154899821 | Adam Garcia-morales | Specialist | 216 S Townsend Ave, Los Angeles, CA 90063-2439 | 2018-11-11 |
| 1174028930 | Sabrena Anne Smith | Specialist | 1680 Vine St Ste 908, Los Angeles, CA 90028-8838 | 2018-03-26 |
| 1538663513 | John Horton | Specialist | 760 Westwood Plaza, Resident Office, Los Angeles, CA 90024 | 2018-03-22 |
| 1598272262 | Ronna Lynne Pearl | Specialist | 3371 Glendale Blvd Ste 215, Los Angeles, CA 90039-1857 | 2018-01-04 |
| 1245754431 | Marla Ellen Mintz | Specialist | 11844 W Pico Blvd Ste 200, Los Angeles, CA 90064-1353 | 2017-07-28 |
| 1730619818 | Emily Ng | Specialist | 8590 W Pico Blvd, Los Angeles, CA 90035-2691 | 2017-06-12 |
| 1871044297 | Katherinne Aucaruri | Specialist | 4225 Blanchard St, Los Angeles, CA 90063-1317 | 2016-10-20 |
| 1720536923 | Jkc Neurology Medical Group Inc | Specialist | 3550 Wilshire Blvd Ste 650, Los Angeles, CA 90010-2440 | 2016-09-15 |
| 1932552916 | Anthony Jose Salvatierra | Specialist | 421 S Manhattan Pl Apt 9, Los Angeles, CA 90020-4175 | 2016-07-14 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90004 |
Please comment or provide details below to improve the information on DR. PATRICK T PARK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.