DR. WONKYU PAK (NPI# 1376542894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376542894 |
| Entity Type | Individual |
| Full Name | DR. WONKYU PAK |
| Credential | M.D. |
| Practice Address |
266 S Harvard Blvd Suite 500 Los Angeles CA 90004-4372 |
| Mailing Address |
17218 Nugent Pl Granada Hills CA 91344-1649 |
| Practice Telephone | 2137396900 |
| Mailing Telephone | 3104338156 |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2015-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | G59023 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
266 S HARVARD BLVD SUITE 500 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90004-4372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1154546497 | Syed Maksudul Hossain | Internal Medicine | 266 S Harvard Blvd, Suite 210, Los Angeles, CA 90004-4372 | 2007-04-13 |
| 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 | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407473754 | Janet K. Kim Md, Inc | Ophthalmology | 903 Crenshaw Blvd Ste 105, Los Angeles, CA 90019-1972 | 2020-07-02 |
| 1770048266 | Luxi Optometry, Inc | Ophthalmology | 3250 W. Olympic Blvd #221, Los Angeles, CA 90006 | 2019-02-08 |
| 1598238784 | Stanley S Kim Md, Inc | Ophthalmology | 3663 W 6th St Ste 200, Los Angeles, CA 90020-3048 | 2019-01-10 |
| 1811462542 | Eyecare Specialists Medical Group, Inc | Ophthalmology | 5120 W Goldleaf Cir Ste 20, Los Angeles, CA 90056-1292 | 2018-10-09 |
| 1386132744 | Masket Foundation Clinic for Eye Care | Ophthalmology | 2080 Century Park E Ste 911, Los Angeles, CA 90067-2012 | 2018-05-01 |
| 1922501154 | Maloney-shamie Vision Institute | Ophthalmology | 10921 Wilshire Blvd Ste 900, Los Angeles, CA 90024-4003 | 2018-03-14 |
| 1417484213 | Julie You Kwon Md Inc | Ophthalmology | 932 S Cloverdale Ave, Los Angeles, CA 90036-4817 | 2017-05-11 |
| 1932581642 | Eric Shieh | Ophthalmology | 100 Stein Plz Rm 2-132, Los Angeles, CA 90095-7065 | 2015-06-18 |
| 1275950115 | Daniel Lemor | Ophthalmology | 4036 Whittier Blvd Ste 202, Los Angeles, CA 90023 | 2014-03-27 |
| 1659705705 | Martin James Brickman | Ophthalmology | 2531 Mount Beacon Ter, Los Angeles, CA 90068-2444 | 2013-08-26 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90004 |
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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.