MR. DANIEL PARK (NPI# 1538162631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538162631 |
| Entity Type | Individual |
| Full Name | MR. DANIEL PARK |
| Credential | P.A. |
| Practice Address |
1441 Eastlake Ave Ste 7416 Los Angeles CA 90089-2211 |
| Mailing Address |
Po Box 31309 Los Angeles CA 90031-0309 |
| Practice Telephone | 3238653700 |
| Practice Fax Number | 3238650120 |
| Mailing Telephone | 3238653700 |
| Mailing Fax Number | 3238650120 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2020-09-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA13945 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA13945 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA13945 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376070359 | Daniel Ilwoo Park | General Practice | Building S-555, Apo, AP 96271 | 2017-05-22 |
| 1740739531 | Daniel Ingun Park | Physical Therapist | 4214 162nd St Fl 1, Flushing, NY 11358-4156 | 2016-09-22 |
| 1649605262 | Daniel Y Park | Physical Therapist | 1001 Kamokila Blvd Ste 127, Kapolei, HI 96707-2097 | 2013-09-13 |
| 1699054577 | Daniel Ilwoo Park | Massage Therapist | 15433 Country Club Dr, Unit A206, Mill Creek, WA 98012-1260 | 2011-08-10 |
| 1447581186 | Daniel Jinsang Park | Dentist | 6777 Westminster Blvd Ste C, Westminster, CA 92683-8057 | 2010-01-20 |
| 1518197938 | Daniel Park | Emergency Medicine | 3300 Douglas Blvd Ste 405, Roseville, CA 95661-3841 | 2009-07-20 |
| 1952546533 | Daniel Park | Plastic Surgery | 2285 Asquith Ave Sw Ste 200, Marietta, GA 30008 | 2008-12-10 |
| 1124201801 | Daniel Park | Psychiatry & Neurology | 1707 W Charleston Blvd Ste 200, Las Vegas, NV 89102-2353 | 2007-12-17 |
| 1598882029 | Daniel I Park | Denturist | 30816 Pacific Hwy S, Federal Way, WA 98003-4902 | 2007-03-22 |
| 1831239391 | Daniel Do Young Park | Family Medicine | 6019 Roosevelt Ave, Suite #201, Woodside, NY 11377-3537 | 2007-02-07 |
| Street Address |
1441 EASTLAKE AVE STE 7416 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90089-2211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417554528 | Keck Medical Center of Usc | General Acute Care Hospital | 1441 Eastlake Ave, Los Angeles, CA 90089-1019 | 2020-10-02 |
| 1487296406 | Paige E. Asawa | Marriage & Family Therapist | 1441 Eastlake Ave, Los Angeles, CA 90089-1019 | 2019-10-10 |
| 1437629474 | Hrachuhi Lilit Hakhpandyan | Nurse Practitioner | 1441 Eastlake Ave, Los Angeles, CA 90089-2490 | 2018-12-03 |
| 1033696497 | Carmen Lucia Martinez | Dietitian, Registered | 1441 Eastlake Ave, Los Angeles, CA 90089-1019 | 2018-07-27 |
| 1093207508 | Jennifer Frutchey | Dietitian, Registered | 1441 Eastlake Ave, Los Angeles, CA 90089-1019 | 2018-05-31 |
| 1588167704 | Ju Hyung Lee | Nurse Practitioner | 1441 Eastlake Ave, Los Angeles, CA 90089-3420 | 2018-03-14 |
| 1063913531 | Akbar Ashrafi | Student in an Organized Health Care Education/Training Program | 1441 Eastlake Ave, Los Angeles, CA 90089-0112 | 2018-02-21 |
| 1912444084 | Ricardo Araujo Brandina | General Acute Care Hospital | 1441 Eastlake Ave, Suite 7416, Los Angeles, CA 90089-0112 | 2017-01-26 |
| 1265981542 | Jan Huynh | Social Worker | 1441 Eastlake Ave, Los Angeles, CA 90089-0112 | 2016-09-27 |
| 1407207905 | Leslie Van La | Physician Assistant | 1441 Eastlake Ave, Suite 7416, Los Angeles, CA 90089-9178 | 2016-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962980201 | Brittany Nicole Beasley | Psychologist | 1031 W. 34th St., 3rd Floor, Suite 304, Los Angeles, CA 90089 | 2018-07-30 |
| 1548763675 | Tien Ng | Pharmacist | Usc School of Pharmacy, 1985 Zonal Ave, Los Angeles, CA 90089 | 2018-03-15 |
| 1821503236 | Theodore James Goldsmith | Psychologist | 1031 W 34th St Fl 3, Los Angeles, CA 90089 | 2017-12-07 |
| 1174046890 | Erin Lindsay Mcintyre | Occupational Therapist | 1540 Alcazar Street, Chp 133, Los Angeles, CA 90089 | 2017-07-25 |
| 1831645571 | Alyssa Cantal | Student in an Organized Health Care Education/Training Program | 1540 Alcazar St., Chp-133, Los Angeles, CA 90089 | 2016-09-01 |
| 1841744638 | Cheryl Jonghee Park | Dentist | 925 W. 34th Street, Room 4363, Los Angeles, CA 90089 | 2016-08-09 |
| 1528412376 | Mark Duan Ard Jr. | Psychiatry & Neurology | 1975 Zonal Ave, Los Angeles, CA 90089 | 2016-04-18 |
| 1851766679 | Samantha Trout | Student in an Organized Health Care Education/Training Program | 1540 Alcazar St Chp-133, Los Angeles, CA 90089 | 2015-12-04 |
| 1215324363 | Upama Giri | Student in an Organized Health Care Education/Training Program | 1441 Eastlake Ave Ste 3470, Los Angeles, CA 90089 | 2015-04-15 |
| 1982015004 | Martrice Ways | Student in an Organized Health Care Education/Training Program | 3375 South Hoover Street, Suite H201, Los Angeles, CA 90089 | 2014-05-12 |
| Find all providers in zip 90089 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154929644 | Tatum Little | Physician Assistant | 3307 W 79th St, Los Angeles, CA 90043-5249 | 2020-10-15 |
| 1144828963 | Chan Ho Park | Physician Assistant | 4721 Oakwood Ave, Los Angeles, CA 90004-3112 | 2020-10-14 |
| 1235737172 | Jennifer Rae Levitt Physician Assistant, Inc | Physician Assistant | 1439 N Highland Ave Ste 1059, Los Angeles, CA 90028-7622 | 2020-10-13 |
| 1174120943 | Melody Fatehi | Physician Assistant | 6228 Orange St Apt 9, Los Angeles, CA 90048-4836 | 2020-10-05 |
| 1467063826 | Hannah Shannon Rihani | Physician Assistant | 1737 Midvale Ave, Los Angeles, CA 90024-5512 | 2020-08-11 |
| 1356969901 | Emily Rachel Lavi | Physician Assistant | 1132 S Holt Ave Apt 7, Los Angeles, CA 90035-2424 | 2020-07-09 |
| 1083242952 | Julia Andrea Hurtado | Physician Assistant | 3783 Cimarron St, Los Angeles, CA 90018-4463 | 2020-03-27 |
| 1174150130 | Susan C. Williams | Physician Assistant | 2215 Alcazar St, Los Angeles, CA 90033-1003 | 2020-03-26 |
| 1720615776 | Shannon Hakakeyan | Physician Assistant | 1580 Manning Ave Apt 303, Los Angeles, CA 90024-6086 | 2020-03-26 |
| 1952938243 | Jayanti Sharma | Physician Assistant | 1515 Amherst Ave Apt 303, Los Angeles, CA 90025-3677 | 2020-03-25 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90089 |
Please comment or provide details below to improve the information on MR. DANIEL 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.