DR. KWANG SOO PARK (NPI# 1942385471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942385471 |
| Entity Type | Individual |
| Full Name | DR. KWANG SOO PARK |
| Credential | M.D. |
| Practice Address |
1224 Vine St Los Angeles CA 90038-1612 |
| Practice Telephone | 3237696100 |
| Practice Fax Number | 3234670297 |
| Mailing Telephone | 3237696100 |
| Mailing Fax Number | 3234670297 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
A37469 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770766776 | Kwang Hee Park | Acupuncturist | 522 E Orange Grove Blvd, Pasadena, CA 91104-4351 | 2007-12-12 |
| 1457486086 | Kwang Seo Park | Dentist | 3023 Bunker Hill St Ste 101, San Diego, CA 92109-5706 | 2007-02-23 |
| 1396836847 | Kwang Se Park | Family Medicine | 7308 N Main St, Jacksonville, FL 32208-4124 | 2006-09-28 |
| 1043591258 | Kwang H Park | Pharmacist | 3513 N Market St, Wilmington, DE 19802-2733 | 2011-09-01 |
| 1215078365 | Kwang Kyv Park | Dentist | 1834 S State St, Orem, UT 84097-8109 | 2007-02-10 |
| Street Address |
1224 VINE ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90038-1612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700819331 | Los Angeles County Department of Mental Health | Clinic/Center | 1224 Vine St, Los Angeles, CA 90038-1612 | 2006-07-08 |
| 1689215261 | Daisy Judith Banuelos | Counselor | 1224 Vine St, Los Angeles, CA 90038-1612 | 2019-10-04 |
| 1841831559 | Cindy Lopez | Student in an Organized Health Care Education/Training Program | 1224 Vine St, Los Angeles, CA 90038-1612 | 2019-10-03 |
| 1063061737 | Fay Goldenshteyn | Pharmacist | 1224 Vine St, Los Angeles, CA 90038-1612 | 2019-09-05 |
| 1831756923 | Joel S Jeffries | Counselor | 1224 Vine St, Los Angeles, CA 90038-1612 | 2019-05-23 |
| 1447735469 | Maureen Labern Smith | Case Manager/Care Coordinator | 1224 Vine St, Los Angeles, CA 90038-1612 | 2018-09-25 |
| 1457835761 | Lucy Danielle Taillieu | Student in an Organized Health Care Education/Training Program | 1224 Vine St, Los Angeles, CA 90038-1612 | 2018-09-21 |
| 1164905857 | Kaitlyn B Verbarendse | Student in an Organized Health Care Education/Training Program | 1224 Vine St, Los Angeles, CA 90038-1612 | 2018-09-10 |
| 1114400801 | Carisa Boudreaux | Student in an Organized Health Care Education/Training Program | 1224 Vine St, Los Angeles, CA 90038-1612 | 2018-09-10 |
| 1679054910 | Betsy Ann Ryan | Student in an Organized Health Care Education/Training Program | 1224 Vine St, Los Angeles, CA 90038-1612 | 2018-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114568698 | Kaiser Foundation Health Plan Inc | Pharmacy | 7007 Romaine St, Los Angeles, CA 90038 | 2019-10-04 |
| 1134685613 | National Vision Inc | Technician/Technologist | 5818 Santa Monica Boulevard, Los Angeles, CA 90038 | 2019-02-20 |
| 1023530482 | Christopher Michael Colon | Case Manager/Care Coordinator | 1224 N Vine Street, Los Angeles, CA 90038 | 2017-07-07 |
| 1841736477 | Randall Smith | Counselor | 7000 Romaine, 207-208, La, CA 90038 | 2017-01-06 |
| 1780050278 | Craig V. Smith, M.d., A Professional Medical Corporation | Internal Medicine | 6711 Melrose Ave., Los Angeles, CA 90038 | 2015-08-19 |
| 1033585534 | M2 Recovery, Inc. | Clinic/Center | 6715 Melrose Ave., Los Angeles, CA 90038 | 2015-08-19 |
| 1457760522 | Lital Shvarts | Psychologist | 6311 Romaine St Ste 7329, Los Angeles, CA 90038 | 2014-08-04 |
| 1144658071 | Aaron Niemi | Acupuncturist | 1011 North Cole Ave, Los Angeles, CA 90038 | 2013-11-01 |
| 1013351139 | Suren Vardanyan | Non-emergency Medical Transport (VAN) | 1208 N Gower St, #201, Los Angeles, CA 90038 | 2013-04-19 |
| 1093912966 | Tina Robinson | Registered Nurse | 1224 Vine St., Los Angeles, CA 90038 | 2007-07-02 |
| Find all providers in zip 90038 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831705383 | Joel A Badeaux, Md, A Professional Corp | Psychiatry & Neurology | 2135 Park Dr, Los Angeles, CA 90026-1919 | 2020-09-21 |
| 1205454204 | Sage Minds | Psychiatry & Neurology | 3860 Wilshire Blvd, P04-1188, Los Angeles, CA 90010 | 2020-07-07 |
| 1881241453 | Bryan Yang Md Inc | Psychiatry & Neurology | 2221 W Olympic Blvd Ste 200, Los Angeles, CA 90006-2117 | 2019-08-19 |
| 1962063859 | Nida Kichkla | Psychiatry & Neurology | 1010 N Avenue 66, Los Angeles, CA 90042-1512 | 2019-06-22 |
| 1669976874 | Pulse Tms, A Medical Corporation | Psychiatry & Neurology | 1663 Sawtelle Blvd Ste 240, Los Angeles, CA 90025-3198 | 2018-03-21 |
| 1376047670 | Sasha Getty | Psychiatry & Neurology | 11301 Wilshire Blvd Rm 6428, Los Angeles, CA 90073-1003 | 2018-03-21 |
| 1972038388 | Eric Michael | Psychiatry & Neurology | 11301 Wilshire Blvd Bldg 401, Los Angeles, CA 90073-1003 | 2017-04-23 |
| 1386175941 | Christopher Junpyo Hong | Psychiatry & Neurology | 2250 Alcazar St # 2200, Los Angeles, CA 90089-2498 | 2017-03-24 |
| 1558892638 | David Zhang | Psychiatry & Neurology | 760 Westwood Plz Ste 17-413, Los Angeles, CA 90024-5055 | 2017-03-21 |
| 1306399951 | Gotham Psychiatric PC | Psychiatry & Neurology | 5419 Hollywood Blvd Ste C172, Los Angeles, CA 90027-3480 | 2016-08-01 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90038 |
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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.