DR. PETER H PARK (NPI# 1225076516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225076516 |
Entity Type | Individual |
Full Name | DR. PETER H PARK |
Credential | M.D, |
Practice Address |
3511 W Olympic Blvd 201 Los Angeles CA 90019-3563 |
Practice Telephone | 3237330036 |
Practice Fax Number | 3237336885 |
Mailing Telephone | 3237330036 |
Mailing Fax Number | 3237336885 |
Enumeration Date | 2006-06-02 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | G67513 | CA | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033685177 | Peter Sungil Park | Obstetrics & Gynecology | 31874 Summer Grape Ct, Winchester, CA 92596-8633 | 2018-10-16 |
1699015792 | Peter Ju Park | Radiology | 100 Woodruff Cir Ne, Suite 327, Atlanta, GA 30322-0001 | 2013-02-26 |
1831296185 | Peter Joonsun Park | Emergency Medicine | 34800 Bob Wilson Dr. Naval Medical Center, Department of Emergency Medicine, San Diego, CA 92134-1110 | 2006-09-20 |
1508899915 | Peter C Park | Family Medicine | 30 Vt Route 100 S, Wilmington, VT 05363-7944 | 2006-07-09 |
1952359887 | Peter K Park | Physical Medicine & Rehabilitation | 6447 E Riverside Blvd, Suite 102, Rockford, IL 61114-4421 | 2006-05-04 |
1104825033 | Peter Sang-wook Park | Podiatrist | 1501 W Commonwealth Ave, Fullerton, CA 92833-2727 | 2005-07-21 |
1154937241 | Peter S Park | Student in an Organized Health Care Education/Training Program | 820 Memorial St Ste 1, Prosser, WA 99350-2504 | 2020-09-23 |
1437762275 | Peter Park | Pharmacist | 1713 W Springfield Ave, Champaign, IL 61821-3011 | 2020-08-30 |
1831650043 | Peter K Park | Student in an Organized Health Care Education/Training Program | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2019-03-29 |
1508392176 | Peter Park | Social Worker | 4320 Diplomacy Dr, Anchorage, AK 99508-5925 | 2017-05-02 |
Street Address |
3511 W OLYMPIC BLVD 201 |
City | LOS ANGELES |
State | CA |
Zip Code | 90019-3563 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770536252 | Wiltoh Pharmacy | Pharmacy | 3511 W Olympic Blvd, 102, Los Angeles, CA 90019-3563 | 2006-05-18 |
1477724441 | Jonathan Hyungsuk Kim | Chiropractor | 3511 W Olympic Blvd, 204, Los Angeles, CA 90019-3563 | 2008-03-18 |
1316136880 | Mike Kim Chiropractic, Corp | Chiropractor | 3511 W Olympic Blvd, Suite 202, Los Angeles, CA 90019-3563 | 2007-10-19 |
1316139223 | James M Jung | Internal Medicine | 3511 W Olympic Blvd, 101, Los Angeles, CA 90019-3563 | 2007-08-14 |
1679662357 | Wilton Pharmacy | Pharmacy | 3511 W Olympic Blvd, Ste 102, Los Angeles, CA 90019-3563 | 2006-10-12 |
1912920919 | James Jung | Internal Medicine | 3511 W Olympic Blvd, 101, Los Angeles, CA 90019 | 2006-07-25 |
1053346940 | Dong W Mun | Internal Medicine | 3511 W Olympic Blvd, Ste 101, Los Angeles, CA 90019-3563 | 2006-07-11 |
1154356921 | Jung Medical Center | Internal Medicine | 3511 W Olympic Blvd, #101, Los Angeles, CA 90019-3563 | 2006-07-11 |
1215968706 | Mike Kim | Chiropractor | 3511 W Olympic Blvd, 202, Los Angeles, CA 90019-3563 | 2006-07-05 |
1649223454 | Jung S Kim | Pharmacist | 3511 W Olympic Blvd, #102, Los Angeles, CA 90019-3563 | 2006-05-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386299139 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1302 South La Brea, Los Angeles, CA 90019 | 2019-08-08 |
1104383694 | 310 Recovery Inc. | Clinic/Center | 1723 1/2 Hauser Blvd, Los Angeles, CA 90019 | 2019-02-21 |
1184131328 | Sehyeong Son | Acupuncturist | 1722 Crenshaw Blvd, Los Angeles, CA 90019 | 2018-01-09 |
1285158154 | Vanessa A. Myrie | Social Worker | 5562 Packard St., Los Angeles, CA 90019 | 2017-08-01 |
1093241309 | Hamburger Home | Community/Behavioral Health | 4066 W. 17th Street, Los Angeles, CA 90019 | 2017-05-05 |
1639614779 | Jung Ho Kang | Acupuncturist | 903 S. Crenshaw Blvd #304a, Los Angeles, CA 90019 | 2016-12-28 |
1912353491 | Sung Won Lee | Acupuncturist | 4027 W. Pico Bl., Los Angeles, CA 90019 | 2016-05-13 |
1497188528 | Sfvcmhc | Community/Behavioral Health | 5754 San Vicente Blvd, 401, Los Angeles, CALIFORNIA 90019 | 2013-08-13 |
1467890160 | Denise Breheny | Lactation Consultant, Non-RN | 1053 Carmona Ave., Los Angeles, CA 90019 | 2013-06-05 |
1336483122 | Nancy Denise - Latten Davidson | Student in an Organized Health Care Education/Training Program | 4073-75 West Pico Blvd, Los Angeles, CA 90019 | 2012-11-16 |
Find all providers in zip 90019 |
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 | 90019 |
Please comment or provide details below to improve the information on DR. PETER H 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.