ELLEN SAE EUN PARK (NPI# 1922559442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922559442 |
| Entity Type | Individual |
| Full Name | ELLEN SAE EUN PARK |
| Other Name | SAE EUN PARK |
| Credential | N.P |
| Practice Address |
2232 Sepulveda Blvd Torrance CA 90501-5301 |
| Practice Telephone | 3103269167 |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2019-12-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
95005023 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740892645 | Ellen Park | Occupational Therapist | 3148 W 11th St, Los Angeles, CA 90006-2322 | 2020-08-20 |
| 1528313863 | Ellen Miyoung Park | Counselor | 3261 Ne 100th St, Seattle, WA 98125-7816 | 2012-07-23 |
| 1821327826 | Ellen Jung Park | Occupational Therapist | 14119 Deerbrook Ln, Chino Hills, CA 91709-4807 | 2009-12-22 |
| 1174090179 | Ellen Sunghee Park | Pharmacist | 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 | 2018-10-28 |
| 1619475043 | Ellen Park | Occupational Therapist | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2018-01-31 |
| 1508310673 | Ellen Park | Dentist | 620 Alabama St, Redlands, CA 92373-8059 | 2016-08-06 |
| 1568712362 | Ellen Park | Optometrist | 1689 Arden Way, Sacramento, CA 95815-4030 | 2012-09-19 |
| 1801057732 | Ellen Jiwon Park | Anesthesiology | 1500 San Pablo St, 4th Floor Anes, Los Angeles, CA 90033-5313 | 2008-06-23 |
| 1619075413 | Ellen Park | Student in an Organized Health Care Education/Training Program | 625 Elmwood Ave, Box 683, Rochester, NY 14620-2913 | 2006-09-20 |
| 1821104191 | Ellen S Park | Radiology | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2006-08-21 |
| Street Address |
2232 SEPULVEDA BLVD |
| City | TORRANCE |
| State | CA |
| Zip Code | 90501-5301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578537445 | Ofelia Caratao | Pediatrics | 2232 Sepulveda Blvd, Torrance, CA 90501-5301 | 2006-02-15 |
| 1609812478 | Barbara Ann Lebron | Internal Medicine | 2232 Sepulveda Blvd, Torrance, CA 90501-5301 | 2006-06-21 |
| 1467411819 | Jason Yonghoon Kim | Pediatrics | 2232 Sepulveda Blvd, Torrance, CA 90501-5301 | 2006-03-22 |
| 1952377913 | Elva Lynn Dreisbach | Internal Medicine | 2232 Sepulveda Blvd, Healthcare Partners, Torrance, CA 90501-5301 | 2006-02-28 |
| 1457327694 | Eric Norman Silbiger | Family Medicine | 2232 Sepulveda Blvd, Torrance, CA 90501-5301 | 2006-02-27 |
| 1760457576 | Homer M. Hernandez | Family Medicine | 2232 Sepulveda Blvd, Torrance, CA 90501-5301 | 2006-02-23 |
| 1720053978 | Sophie H Chang | Family Medicine | 2232 Sepulveda Blvd, Torrance, CA 90501-5301 | 2006-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700351145 | Brittany Ford | Behavior Technician | 701 Van Ness Way, Ste. 710, Sacrmamento, CA 90501 | 2018-10-12 |
| 1912417999 | Wellspring of Life Counseling Center, Inc. | Counselor | 2008 West Carson Street, Suite 105, Torrance, CA 90501 | 2017-10-04 |
| 1902325517 | Diane Elizabeth Rogers | Counselor | 20300 S. Vermont Ave, Suite 275, Torrance, CA 90501 | 2017-09-14 |
| 1124545397 | Daniel Benjamin | Social Worker | 1617 Cravens Ave., Torrance, CA 90501 | 2017-08-28 |
| 1194246819 | Rebecca Senter | Counselor | 1124 W. Carson St N33, Torrance, CA 90501 | 2017-07-03 |
| 1932638376 | Anderson Development Licensed Clinical Social Worker Inc | Social Worker | 21151 S Western Ave Ste 174, Torrance, CA 90501 | 2017-06-08 |
| 1548796626 | Green Meadow Homes, Inc. | Skilled Nursing Facility | 2460 W. 229th Street, Torrance, CA 90501 | 2017-05-10 |
| 1134679558 | Stacey Rose Garcia | Student in an Organized Health Care Education/Training Program | 1445 W 214th St, Torrance, CA 90501 | 2016-10-10 |
| 1700333002 | Veronica Mayela Martinez | Marriage & Family Therapist | 1523 W. 228th St Apt. A, Torrance, CA 90501 | 2016-09-02 |
| 1124453030 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1303 W Sepulveda Blvd, Torrance, CA 90501 | 2013-09-10 |
| Find all providers in zip 90501 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235738782 | Peninsula Healthcare Center | Nurse Practitioner | 22330 Hawthorne Blvd Ste 208, Torrance, CA 90505-2536 | 2020-10-25 |
| 1033746359 | Leslie Catherine Fletcher | Nurse Practitioner | 2223 Torrance Blvd, Torrance, CA 90501-2517 | 2020-03-25 |
| 1124587514 | Madoka Arai Barrientos | Nurse Practitioner | 3440 Lomita Blvd Ste 320, Torrance, CA 90505-4824 | 2019-03-15 |
| 1891196408 | Cassandra Coleman | Nurse Practitioner | 3661 Torrance Blvd, Ste 201, Torrance, CA 90503-4812 | 2014-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584008 | Venessa Beck | Nurse Practitioner | 903 Cardiff St, San Diego, CA 92114-5019 | 2020-10-08 |
| 1053918094 | Janel Nicole Sanglerat | Nurse Practitioner | 416 Aviation Blvd, Santa Rosa, CA 95403-1032 | 2020-10-02 |
| 1790382760 | Christopher Tran | Nurse Practitioner | 11441 Heacock St Ste F, Moreno Valley, CA 92557-7907 | 2020-10-02 |
| 1487266292 | Mollie Shira Hudson | Nurse Practitioner | 14 Whitmore Pl Apt 15, Oakland, CA 94611-4635 | 2020-08-21 |
| 1962014381 | Mario Javier Herrera | Nurse Practitioner | 2130 High Pointe Dr, Apt 108, Corona, CA 92879 | 2020-08-18 |
| 1952912131 | Norman Ivan Kier | Nurse Practitioner | 3834 Edison Ave, Sacramento, CA 95821-2728 | 2020-08-12 |
| 1942811377 | Thanhan Mathews | Nurse Practitioner | 114 W Cameron St Apt B, Hanford, CA 93230-2965 | 2020-08-10 |
| 1972113355 | Marine Mary Kademyan | Nurse Practitioner | 6528 Babcock Ave, North Hollywood, CA 91606 | 2020-07-31 |
| 1245849645 | Shannon Pereira | Nurse Practitioner | 2368 Honeysuckle Way, Hemet, CA 92545-4796 | 2020-07-31 |
| 1265041651 | Annie Mali Hadfield | Nurse Practitioner | 28 Stoney Pt, Laguna Niguel, CA 92677-1001 | 2020-07-30 |
| Find all providers with the same taxonomy | ||||
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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.