MS. ELIZABETH ANNE PARK (NPI# 1760515886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760515886 |
| Entity Type | Individual |
| Full Name | MS. ELIZABETH ANNE PARK |
| Credential | PSY.D. |
| Practice Address |
4650 W Sunset Blvd Ms#53 Los Angeles CA 90027-6062 |
| Practice Telephone | 3233616806 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2016-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PSY27404 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447511274 | Elizabeth Park | Internal Medicine | 260 Tremont St Fl 5, Boston, MA 02116-5603 | 2012-06-07 |
| 1780995191 | Elizabeth Calder Park | Physical Therapist | 175 Inverness Dr W Ste 100, Englewood, CO 80112-5066 | 2010-06-30 |
| 1003999889 | Elizabeth Park | Dentist | 501 S Division St, Carson City, NV 89703 | 2006-10-23 |
| 1447255096 | Elizabeth A Park | Nurse Practitioner | 1206 Highway 411, Vonore, TN 37885-2455 | 2005-06-19 |
| 1619528833 | Elizabeth Park | Nurse Practitioner | 2600 N American St, Philadelphia, PA 19133-3413 | 2019-09-28 |
| 1871988576 | Elizabeth Park | Student in an Organized Health Care Education/Training Program | 505 E 70th St, New York, NY 10021-4872 | 2015-03-31 |
| 1487081311 | Elizabeth Christine Park | Dietitian, Registered | 800 S Tucker Dr, Tulsa, OK 74104-9700 | 2013-10-10 |
| 1649515305 | Elizabeth Park | Occupational Therapist | 2555 E Colorado Blvd Ste 100, Pasadena, CA 91107-6617 | 2012-12-06 |
| 1063771004 | Elizabeth Yae-na Park | Emergency Medicine | One Baylor Plaza, Baylor College of Medicine Bcm 620, Houston, TX 77030-3411 | 2012-05-11 |
| 1740438183 | Elizabeth Arnold Park | Radiology | 1700 Center St, Mobile, AL 36604-3301 | 2008-08-27 |
| Street Address |
4650 W SUNSET BLVD MS#53 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90027-6062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144223926 | Fariba Navid | Pediatrics | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2005-05-24 |
| 1811596810 | Samih Samaha | Social Worker | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2020-10-21 |
| 1437756988 | Amanda Ruth Mendelis | Nurse Practitioner | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2020-10-07 |
| 1124638119 | Hayden Mensah Mbroh | Rehabilitation Counselor | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2020-08-04 |
| 1619587854 | Allyssa Marie Asperin Cayago | Nurse Practitioner | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2020-08-03 |
| 1134739592 | Alison Coombs | Physical Therapist | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2020-07-31 |
| 1679190482 | Jearelly Pinedo | Registered Nurse | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2020-06-26 |
| 1124644901 | Corey Hacker | Nurse Practitioner | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2020-06-17 |
| 1720602667 | Bhavna Shah | Physical Therapist | 4650 W Sunset Blvd, Mailstop # 154, Los Angeles, CA 90027 | 2020-06-06 |
| 1023632528 | Bethany L Burdick | Student in an Organized Health Care Education/Training Program | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2020-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326653593 | Lamia Binhuwaishel | Student in an Organized Health Care Education/Training Program | 4650 Sunset Blvd, Craniofacial and Special Needs Ortho, Los Angeles, CA 90027 | 2020-09-14 |
| 1285242594 | Rocio Jimenez | Case Manager/Care Coordinator | 4650 Sunset Blvd, Mailstop #53, Los Angeles, CA 90027 | 2020-07-22 |
| 1558984799 | Integrative Endodontics, Inc | Dentist | 10850 Wilshine Blvd Ste 301, Los Angeles, CA 90027 | 2020-05-22 |
| 1104450295 | Sarayana Sercarz | Marriage & Family Therapist | 4080 Woking Way, Los Angeles, CA 90027 | 2020-02-27 |
| 1457991143 | George Michaiel | Pediatrics | 4650 Sunset Blvd., Ms #54, Los Angeles, CA 90027 | 2020-01-09 |
| 1477199297 | Molly Rose Holmes | Marriage & Family Therapist | 3901 Los Feliz Boulevard, #303, Los Angeles, CA 90027 | 2019-11-27 |
| 1588206171 | Dental Help Solutions, LLC | Dentist | 4606 Hollywood Blvd, Suite A, Los Angeles, CA 90027 | 2019-10-15 |
| 1457905986 | Carmen L Ponce | Physical Therapy Assistant | 4867 Sunset Ave, Los Angeles, CA 90027 | 2019-08-01 |
| 1447729009 | Matthew Mendoza | Respiratory Therapist, Registered | 4867 Sunset Blvd, Los Angeles, Ca, Los Angeles, CA 90027 | 2018-11-13 |
| 1659856284 | Leticia Mendez | Nurse Practitioner | 1300 N Vermont Ave 606, Los Angeles, CA 90027 | 2018-09-29 |
| Find all providers in zip 90027 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124631312 | Kathleen Carroll-wray | Psychologist | 818 W 7th St Ste 930, Los Angeles, CA 90017-3476 | 2020-08-26 |
| 1568082113 | Laura Adery | Psychologist | 760 Westwood Plz # 27-448, Los Angeles, CA 90095-8353 | 2020-04-23 |
| 1740776848 | Patricia Z Tan | Psychologist | 300 Medical Plaza #2200, Los Angeles, CA 90095-0001 | 2018-07-02 |
| 1679016976 | Iris Finger | Psychologist | 150 Medical Plaza, Suite 4238b, Los Angeles, CA 90024 | 2016-11-18 |
| 1275901928 | Alycia Davis | Psychologist | 1000 Veteran Ave., Los Angeles, CA 90095-7142 | 2015-09-11 |
| 1609242999 | Hilary Adams | Psychologist | 250 E 1st St Ste 300, Los Angeles, CA 90012 | 2015-08-20 |
| 1982002325 | Samantha Levy | Psychologist | 2305 Pelham Ave, Los Angeles, CA 90064-2211 | 2014-12-17 |
| 1407264609 | Carin Laue | Psychologist | 12777 W Jefferson Blvd, Building D, Suite 300, Los Angeles, CA 90066-7048 | 2014-07-31 |
| 1306130596 | Ryan Paul Kulea Talbert | Psychologist | 6404 1/2 Roble Ave Apt 10, Los Angeles, CA 90042-3584 | 2011-06-05 |
| 1285933184 | Lindsey Jana Sterling | Psychologist | 760 Westwood Plz # 27-370d, Los Angeles, CA 90095-8353 | 2011-03-18 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90027 |
Please comment or provide details below to improve the information on MS. ELIZABETH ANNE 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.