BRIAN CHOI PARK (NPI# 1265410476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265410476 |
| Entity Type | Individual |
| Full Name | BRIAN CHOI PARK |
| Credential | DPM |
| Practice Address |
3400 Lomita Blvd Suite 403 Torrance CA 90505-4930 |
| Practice Telephone | 3103288660 |
| Practice Fax Number | 3102949994 |
| Mailing Telephone | 3103288660 |
| Mailing Fax Number | 3102949994 |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2014-01-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | E4121 | CA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 000E41213 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407333990 | Brian Park | Dentist | 5607 Uvalde Rd # G, Houston, TX 77049-4523 | 2018-07-26 |
| 1811014467 | Brian Keith Park | Home Health Aide | 477 White Pond Dr, Apt 421, Akron, OH 44320-1121 | 2007-03-26 |
| 1215027008 | Brian Park | Radiology | Dilorezno Tricare Health Clinic, Federal Building 2, Rm 1345, Washington, DC 20370-0001 | 2006-10-13 |
| 1467011775 | Brian Park | Student in an Organized Health Care Education/Training Program | 4610 X St, Sacramento, CA 95817-2200 | 2019-06-10 |
| 1598225070 | Brian Sooman Park | Student in an Organized Health Care Education/Training Program | 757 Westwood Plz, Los Angeles, CA 90095-6082 | 2019-03-21 |
| 1417451170 | Brian H Park | Student in an Organized Health Care Education/Training Program | 75 Francis St, Boston, MA 02115-6110 | 2018-03-19 |
| 1144757162 | Brian Park | Neurological Surgery | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2017-05-22 |
| 1942737697 | Brian Park | Student in an Organized Health Care Education/Training Program | 833 Chestnut Street, Suite 220, Philadelphia, PA 19107-4405 | 2017-05-12 |
| 1710418744 | Brian Lim Park | Student in an Organized Health Care Education/Training Program | 1 Gustave L Levy Pl, New York, NY 10029 | 2017-03-22 |
| 1497203947 | Brian Park | Dentist | 11727 Whittier Blvd, Whittier, CA 90601-3939 | 2016-09-13 |
| Street Address |
3400 LOMITA BLVD SUITE 403 |
| City | TORRANCE |
| State | CA |
| Zip Code | 90505-4930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104825066 | Stuart Russell Grant | Colon & Rectal Surgery | 3400 Lomita Blvd, Suite 500, Torrance, CA 90505-4909 | 2005-07-21 |
| 1982053278 | Ravin R Kumar Md, Medical Corporation | Colon & Rectal Surgery | 3400 Lomita Blvd, Ste 200, Torrance, CA 90505-4909 | 2016-06-07 |
| 1518334721 | Compass Foot and Ankle Specialists | Podiatrist | 3400 Lomita Blvd, Ste 403, Torrance, CA 90505-4909 | 2015-08-24 |
| 1336516632 | Jessie Wetherbe | Nurse Practitioner | 3400 Lomita Blvd, Ste 607, Torrance, CA 90505-4909 | 2015-08-21 |
| 1376931345 | Frances A Mckindsey Md Inc | Obstetrics & Gynecology | 3400 Lomita Blvd, Suite #310, Torrance, CA 90505-4921 | 2014-12-29 |
| 1538562343 | Ramin M. Roohipour, Md, Inc | Clinic/Center | 3400 Lomita Blvd, Suite 200, Torrance, CA 90505-4909 | 2014-10-07 |
| 1326452905 | Fataneh Amidi Md Inc | Obstetrics & Gynecology | 3400 Lomita Blvd, Suite 500, Torrance, CA 90505-4909 | 2014-06-11 |
| 1396085791 | Iplaza Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 3400 Lomita Blvd, Ste. 102, Torrance, CA 90505-4909 | 2013-02-21 |
| 1083950562 | Sushila J Agrawal,md Inc | Clinic/Center | 3400 Lomita Blvd, Suite 605, Torrance, CA 90505-4909 | 2013-01-02 |
| 1104184662 | West Torrance Podiatrists Group Inc | Non-Pharmacy Dispensing Site | 3400 Lomita Blvd, Suite 403, Torrance, CA 90505-4909 | 2012-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780229260 | Sleep Apnea Team LLC | Clinic/Center | 2785 Pacific Coast Hwy Ste. E #197, Torrance, CA 90505 | 2019-11-08 |
| 1811469349 | Laura Anne Bloomberg | Marriage & Family Therapist | 2790 Sky Park Drive, Suite 215, Torrance, CA 90505 | 2018-12-21 |
| 1629544234 | Doroty O.d.s. Devalon | Physician Assistant | 23530 Hawthorne Boulevard Building 1, Suite 290, Torrance, CA 90505 | 2018-10-22 |
| 1790270486 | Juste Karvelyte | Dentist | 3500 Lomita Blvd Ste 201, Torrance, CA 90505 | 2018-06-26 |
| 1023507324 | Robert De Leon | Physician Assistant | 23530 Hawthorne Blvd Ste 290, Torrance, CA 90505 | 2018-05-02 |
| 1376052274 | Regents of The University of California | Durable Medical Equipment & Medical Supplies | 3500 Lomita Bvld, Suite 300, Torrance, CA 90505 | 2017-09-22 |
| 1649796038 | Chan & Huang Dental Partnership | Dentist | 3640 Lomita Blvd., #208, Torrance, CA 90505 | 2017-08-17 |
| 1093238370 | Family Acupuncture, Inc. | Specialist/Technologist, Other | 2820 Sepulveda Blvd.ste.a, Torrance, CA 90505 | 2017-07-19 |
| 1629518535 | J Lee Acupuncture | Acupuncturist | 24248 Crenshaw Blvd. #106, Torrance, CA 90505 | 2017-02-27 |
| 1770932360 | Maha Hanna Dds Inc | Dentist | 3710 Pacific Coast Hwy, Ste 101, Torrance, CA 90505 | 2016-06-06 |
| Find all providers in zip 90505 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083730568 | Eric Wee, D.p.m., Inc. | Podiatrist | 17521 Crenshaw Blvd, Torrance, CA 90504-3403 | 2007-03-22 |
| 1700966587 | Marc G Mittleman | Podiatrist | 21250 Hawthorne Blvd, Suite 160, Torrance, CA 90503-5506 | 2006-10-16 |
| 1043213242 | Carl Wagreich | Podiatrist | 23451 Madison St, Ste 230, Torrance, CA 90505-4761 | 2005-05-23 |
| 1518334721 | Compass Foot and Ankle Specialists | Podiatrist | 3400 Lomita Blvd, Ste 403, Torrance, CA 90505-4909 | 2015-08-24 |
| 1285822502 | Marc G Mittleman Dpm | Podiatrist | 21250 Hawthorne Blvd, Suite#160, Torrance, CA 90503-5506 | 2007-10-11 |
| 1518161934 | So Bay Surgical Care Group | Podiatrist | 21250 Hawthorne Blvd, Suite 160, Torrance, CA 90503-5506 | 2007-06-11 |
| 1356555619 | Robert Anavian, D.p.m. | Podiatrist | 23456 Hawthorne Blvd, Suite 270, Torrance, CA 90505-4716 | 2007-05-09 |
| 1396874061 | Stephen Wan | Podiatrist | 3400 Lomita Blvd Ste 403, Torrance, CA 90505-4930 | 2007-03-05 |
| 1922180181 | Roland Carroll | Podiatrist | 21250 Hawthorne Blvd, Suite 160, Torrance, CA 90503-5506 | 2006-10-19 |
| 1316029580 | Michael Bloch | Podiatrist | 21250 Hawthorne Blvd, Suite 160, Torrance, CA 90503-5506 | 2006-10-19 |
| Find all providers in TORRANCE | ||||
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| 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.