ARIC PARK MD INC (NPI# 1558603647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558603647 |
| Entity Type | Organization |
| Organization Name | ARIC PARK MD INC |
| Other Organization Name | PARK FACIAL PLASTICS |
| Practice Address |
462 N Linden Dr Ste 240 Beverly Hills CA 90212-2202 |
| Practice Telephone | 3102470718 |
| Mailing Telephone | 3102470718 |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2013-03-27 |
| Authorized Official Name | DR. ARIC PARK (PRESIDENT) |
| Authorized Official Telephone | 3102470718 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
A112280 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Park Facial Plastics | Doing Business As Name - Organization |
| Street Address |
462 N LINDEN DR STE 240 |
| City | BEVERLY HILLS |
| State | CA |
| Zip Code | 90212-2202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871717140 | Aric Kihyun Park | Otolaryngology | 462 N Linden Dr Ste 240, Beverly Hills, CA 90212-2202 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629535604 | Diego Bautista | Specialist/Technologist, Other | 324 S Beverly Drive #214, Beverely Hills, CA 90212 | 2019-02-26 |
| 1124582978 | California Surgery of Excellence, LLC | Clinic/Center | 269 S Beverly Dr Ste 809, Beverly Hills, CA 90212 | 2019-01-25 |
| 1356818132 | Kari Michelle Sacks | Social Worker | 300 South Beverly Drive, Beverly Hills, CA 90212 | 2018-10-30 |
| 1942782370 | Susan Elizabeth Smiley | Technician, Other | 160 S. Lasky Drive, Beverly Hills, CA 90212 | 2018-09-01 |
| 1417443714 | Sharona Asal Mossazadeh | Physician Assistant | 344 S Rodeo Dr, Beverly Hills, CA 90212 | 2018-07-10 |
| 1760983167 | Nina Rebecca Moradi | Marriage & Family Therapist | 420 S. Beverly Dr., Suite 100-19, Beverly Hills, CA 90212 | 2018-02-22 |
| 1376065946 | Rebecca Shelly Agi | Lactation Consultant, Non-RN | 350 South Reeves Dr., 201, Beverly Hills, CA 90212 | 2017-07-14 |
| 1952853582 | Dmarkis Randolph | Dietetic Technician, Registered | 269 S Beverly Drive, 1038, Beverly Hills, CA 90212 | 2016-10-31 |
| 1023560935 | Barrence Baytos | Kinesiotherapist | 260 S. Beverly Drive, Suite # 210, Beverly Hills, CA 90212 | 2016-10-26 |
| 1467810424 | Laura Fischer | Registered Nurse | 120 S Spalding Dr Ste 301, Beverly Hills, CA 90212 | 2016-02-05 |
| Find all providers in zip 90212 | ||||
| Taxonomy Code | 207YS0123X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Facial Plastic Surgery |
| An otolaryngologist who specializes in facial plastic surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114550498 | Hootan Zandifar Md Inc | Otolaryngology | 8920 Wilshire Blvd Ste 604, Beverly Hills, CA 90211-2006 | 2020-02-14 |
| 1467780270 | Robert O Ruder M D A Professional Corporation | Otolaryngology | 8816 Burton Way Fl 1, Beverly Hills, CA 90211-1715 | 2009-12-07 |
| 1184959140 | Donald B Yoo | Otolaryngology | 120 S Spalding Dr Ste 315, Beverly Hills, CA 90212-1836 | 2009-10-08 |
| 1932376514 | Farhad Ardeshirpour | Otolaryngology | 240 S La Cienega Blvd Ste 200, Beverly Hills, CA 90211-3340 | 2008-05-13 |
| 1780728204 | Richard A Zoumalan | Otolaryngology | 9401 Wilshire Blvd Ste 1105, Beverly Hills, CA 90212-2920 | 2007-02-16 |
| 1871581413 | Stephen H Fink | Otolaryngology | 8484 Wilshire Blvd, Suite 200, Beverly Hills, CA 90211-3227 | 2005-10-07 |
| 1407485493 | Gupta Zandifar Operating Account | Otolaryngology | 8920 Wilshire Blvd Ste 604, Beverly Hills, CA 90211-2006 | 2020-04-02 |
| 1104341791 | David Shamouelian Md Inc | Otolaryngology | 201 S Lasky Dr, Beverly Hills, CA 90212-3610 | 2017-08-04 |
| 1235530627 | Benjamin Talei, Md | Otolaryngology | 120 S Spalding Dr, Suite 236, Beverly Hills, CA 90212-1800 | 2014-09-04 |
| 1184987893 | Face and Sinonasal Specialists of Beverly Hills PC | Otolaryngology | 9400 Brighton Way, Penthouse Suite, Beverly Hills, CA 90210-4714 | 2012-06-18 |
| Find all providers in BEVERLY HILLS | ||||
| City | BEVERLY HILLS |
| Zip Code | 90212 |
Please comment or provide details below to improve the information on ARIC PARK MD INC.
| 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.