Soo M Park (NPI# 1376669812, PAC ID# 1951626282) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1376669812 |
| PAC ID by PECOS | 1951626282 |
| Professional Enrollment ID | I20150209001659 |
| Full Name | Soo M Park |
| Organization Legal Name | SPECIAL SERVICE FOR GROUPS |
| Address |
1306 Wilshire Blvd Los Angeles CA 90017-1705 |
| Phone Number | 2134833000 |
| Gender | F |
| Graduation Year | 2006 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 2769396886 |
| Number of Group Practice Members | 27 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1306 Wilshire Blvd, Los Angeles, CA 90017-1705 | 2134833000 | SPECIAL SERVICE FOR GROUPS |
| 1310 Wilshire Blvd, Los Angeles, CA 90017-1705 | 2134833000 | SPECIAL SERVICE FOR GROUPS |
| 520 S Lafayette Park Place 3rd Fl, Los Angeles, CA 90057-5400 | 2132522100 | SPECIAL SERVICE FOR GROUPS |
| 600 St Paul Ave, Suite 101, Los Angeles, CA 90017-5660 | 2135422800 | SPECIAL SERVICE FOR GROUPS |
| Organization Legal Name | SPECIAL SERVICE FOR GROUPS |
| Physicians | 44 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sung Hea Hwang | Clinical Social Worker | Special Service for Groups | 600 St Paul Ave, Suite 101, Los Angeles, CA 90017-5660 |
| Jinah Hyun Jin Kim | Clinical Social Worker | Special Service for Groups | 11050 E Artesia Blvd, No F, Cerritos, CA 90703-2542 |
| Beatrice C Lau | Clinical Social Worker | Special Service for Groups | 1310 Wilshire Blvd, Los Angeles, CA 90017-1705 |
| Theresa Vincent | Nurse Practitioner | Special Service for Groups | 470 E 3rd St C, Los Angeles, CA 90013-1629 |
| Hala K Masri | Clinical Social Worker | Special Service for Groups | 1730 W Olympic Blvd, Los Angeles, CA 90015-1019 |
| Ann M Huynh | Clinical Social Worker | Special Service for Groups | 15400 Sherman Way, Suite 220, Van Nuys, CA 91406-4271 |
| Silvia Y Yan | Psychologist, Clinical | Special Service for Groups | 520 S Lafayette Park Place 3rd Fl, Los Angeles, CA 90057-5400 |
| Priti Bhardwaj | Psychiatry | Special Service for Groups | 19401 S Vermont Ave, A 201, Torrance, CA 90502-1029 |
| Suad Kapetanovic | Psychiatry | Special Service for Groups | 5715 S Broadway, Los Angeles, CA 90037-4131 |
| Benjamin A Furst | Psychiatry | Special Service for Groups | 1665 W Adams Blvd, Los Angeles, CA 90007-1533 |
| Street Address |
1306 WILSHIRE BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip | 90017-1705 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gopal Govindarajan | Cardiovascular Disease (cardiology) | 1640 W 3rd St, Los Angeles, CA 90017-1102 | |
| Tricia A Culverhouse | Nurse Practitioner | Arroyo Vista Family Health Foundation | 303 S Loma Dr, 202 Arroyo Vista Family Health Center, Los Angeles, CA 90017-1103 |
| Edward Neymark | Interventional Radiology | 1660 W 3rd St, Los Angeles, CA 90017-1138 | |
| Beatrice C Lau | Clinical Social Worker | Special Service for Groups | 1310 Wilshire Blvd, Los Angeles, CA 90017-1705 |
| Anna H Woo | Clinical Social Worker | Special Service for Groups | 1310 Wilshire Blvd, Los Angeles, CA 90017-1705 |
| Linda S Cowan | Obstetrics/gynecology | 1111 W 6th St, Fl 2, Los Angeles, CA 90017-1800 | |
| Norma L Blackwater | General Practice | 1125 W 6th St, Suite 103, Los Angeles, CA 90017-1896 | |
| Clan H Hahn | Hematology/oncology | Usc Care Medical Group Inc | 1225 Wilshire Blvd, Los Angeles, CA 90017-1901 |
| Joyce J Shin | Anesthesiology | Samaritan Anesthesiology Medical Group | 1225 Wilshire Blvd, Los Angeles, CA 90017-1901 |
| Andrew Zadeh | Cardiac Electrophysiology | Usc Care Medical Group Inc | 1225 Wilshire Blvd, Los Angeles, CA 90017-1901 |
| Find all physicians in zip 90017 | |||
| City | LOS ANGELES |
| Zip Code | 90017 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | LOS ANGELES + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Soo M Park.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.