LISA PARK (NPI# 1568857142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568857142 |
| Entity Type | Individual |
| Full Name | LISA PARK |
| Practice Address |
8700 Beverly Blvd West Hollywood CA 90048-1804 |
| Practice Telephone | 7144034975 |
| Mailing Telephone | 7144034975 |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2020-08-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 57.027085 | OH | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245837129 | Lisa Marie Park | Occupational Therapist | 4960 W Argyle St Apt 2, Chicago, IL 60630-4888 | 2020-10-05 |
| 1447866132 | Lisa Yoensil Yoon Park | Nurse Practitioner | 9204 Esperanza, Irvine, CA 92618-1749 | 2020-09-18 |
| 1356763601 | Lisa Jones Park | Behavioral Analyst | 1510 Sunflower Dr, Missoula, MT 59802-3306 | 2014-01-06 |
| 1972130938 | Lisa Kyoun Park | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Port Jefferson, NY 11777-2190 | 2020-03-26 |
| 1225549082 | Lisa S. Park | Nurse Practitioner | 1301 20th St Ste 150, Santa Monica, CA 90404-2050 | 2017-10-19 |
| 1134484785 | Lisa Park | Optometrist | 3333 Buford Dr, Suite 1030, Buford, GA 30519-4913 | 2012-07-10 |
| 1881950533 | Lisa M Park | Nurse Practitioner | 11729 Roe Ave, Leawood, KS 66211-2605 | 2012-04-06 |
| 1699982868 | Lisa L Park | Pediatrics | 4400 University Dr, Student Union Building 1, Room 2300, Fairfax, VA 22030-4422 | 2007-05-17 |
| 1619189115 | Lisa Zito Park | Physical Therapist | 110 Elecia Ln, Foley, AL 36535-8970 | 2007-05-04 |
| 1326269358 | Lisa Lynn Park | Social Worker | 1938 Route 6, Carmel, NY 10512-2311 | 2007-05-01 |
| Street Address |
8700 BEVERLY BLVD |
| City | WEST HOLLYWOOD |
| State | CA |
| Zip Code | 90048-1804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013910983 | Denise A Barbuto | Specialist | 8700 Beverly Blvd, Rm 8725, West Hollywood, CA 90048-1804 | 2005-05-24 |
| 1609481688 | Shawn Younessi Md Inc | Internal Medicine | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2020-09-15 |
| 1447865860 | Elyssa Bangunan Rivero | Nurse Practitioner | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2020-09-11 |
| 1508471301 | Matthew Ryan Beckelman | Nurse Practitioner | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2020-09-09 |
| 1255941514 | Josias Cerritos Escobar | Nurse Practitioner | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2020-08-03 |
| 1841818945 | Jocelyn Chaing | Pharmacist | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2020-07-06 |
| 1992322200 | Kessia Reis | Nurse Anesthetist, Certified Registered | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2020-07-02 |
| 1154947695 | Prime 5 Medical Group Inc | Hospitalist | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2020-06-21 |
| 1770108672 | Pegah Panirian | Podiatrist | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2020-06-16 |
| 1891310934 | Steven Heer | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2020-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473420 | Alden Advanced Surgicenter LLC | Clinic/Center | 8741 Alden Drive, Suite B, Los Angeles, CA 90048 | 2020-10-05 |
| 1760090062 | New Dawn Tms Psychiatry | Clinic/Center | 640 S San Vincente Blvd, Ste. 210, Los Angeles, CA 90048 | 2020-07-22 |
| 1114547312 | Savannah Marie Gonzales | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 3636, Los Angeles, CA 90048 | 2020-04-17 |
| 1861048613 | Sam Dawkins | Internal Medicine | Suite 415e, 8631 West Third Street, Los Angeles, CA 90048 | 2019-08-16 |
| 1295202638 | Caleb Rogers Penn | Anesthesiology | Cedars-sinai Department of Anesthesiology, 8700 Beverly Blvd, Los Angeles, CA 90048 | 2018-10-24 |
| 1437641727 | Medical Imaging Center of Southern California-beverly Hills, Inc | Radiology | 8727 Beverly Blvd, Los Angeles, CA 90048 | 2018-06-01 |
| 1689164121 | Maulin Shah | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 5512, Los Angeles, CA 90048 | 2018-05-10 |
| 1013423631 | Abdul Ali Qaderi | Anesthesiology | 8700 Beverly Blvd Suite 4209, Los Angeles, CA 90048 | 2017-12-19 |
| 1619483559 | Sakeenah Hakim | Social Worker | 292 S. La Cienega Blvd, Suite 102, Los Angeles, CA 90048 | 2017-12-14 |
| 1851805048 | West Hollywood Medical Group Inc | General Practice | 8733 Beverly Blvd Suite #203, West Hollywood, CA 90048 | 2017-11-27 |
| Find all providers in zip 90048 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851736938 | Thuy Tran | Surgery | 8700 Beverly Blvd Ste 4209, West Hollywood, CA 90048-1804 | 2013-05-02 |
| 1023378437 | Joanna Lee Hunter-squires | Surgery | 310 N San Vicente Blvd # 310, West Hollywood, CA 90048-1810 | 2012-05-18 |
| 1881988111 | Leau Medical, Inc., A Professional Corporation | Surgery | 8581 Santa Monica Blvd # 945, West Hollywood, CA 90069-4120 | 2011-06-03 |
| 1740509900 | Daniel Shouhed | Surgery | 8700 Beverly Blvd Ste 8215, West Hollywood, CA 90048-1804 | 2010-05-26 |
| 1639306392 | Abraham Avi Nisim | Surgery | 8700 Beverly Blvd # 8215, West Hollywood, CA 90048-1804 | 2009-06-19 |
| 1104448265 | Deven Patel | Surgery | 8700 Beverly Blvd Ste 8215nt, West Hollywood, CA 90048-1804 | 2020-05-12 |
| 1891280061 | Jaewon James Lee | Surgery | 8700 Beverly Blvd Ste 8215nt, West Hollywood, CA 90048-1804 | 2018-06-28 |
| 1841785599 | Lauren Evans | Surgery | 8700 Beverly Blvd Ste 8215nt, West Hollywood, CA 90048-1804 | 2018-06-26 |
| 1376032342 | Adam Truong | Surgery | 8700 Beverly Blvd # 8215, West Hollywood, CA 90048-1804 | 2018-05-05 |
| 1215464276 | Akbarshakh Akhmerov | Surgery | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2017-05-20 |
| Find all providers in WEST HOLLYWOOD | ||||
| City | WEST HOLLYWOOD |
| Zip Code | 90048 |
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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.