Royal Park (NPI# 1336192301, PAC ID# 6305858168) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1336192301 |
| PAC ID by PECOS | 6305858168 |
| Professional Enrollment ID | I20060615000353 |
| Full Name | Royal Park |
| Organization Legal Name | SKYLINE UROLOGY |
| Address |
23456 Hawthorne Blvd Suite 260 Torrance CA 90505-4716 |
| Phone Number | 3106025005 |
| Gender | M |
| Credential | MD |
| Medical School | NEW YORK UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 5496767253 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050351 | TORRANCE MEMORIAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 23456 Hawthorne Blvd, Suite 260, Torrance, CA 90505-4716 | 3106025005 | SKYLINE UROLOGY |
| Organization Legal Name | SKYLINE UROLOGY |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joy G Paul | Urology | Skyline Urology | 3445 Pacific Coast Hwy 310, Torrance, CA 90505-6660 |
| Mark B Sender | Urology | Skyline Urology | 23823 Valencia Blvd, Suite 130, Santa Clarita, CA 91355-9513 |
| Timothy F Lesser | Urology | Skyline Urology | 23600 Telo Ave, Suite 220, Torrance, CA 90505-4039 |
| Kambiz Dardashti | Urology | Skyline Urology | 23600 Telo Ave, Suite 220, Torrance, CA 90505-4039 |
| Shelby Morrisroe | Urology | Skyline Urology | 23600 Telo Ave, Suite 220, Torrance, CA 90505-4039 |
| Farhad B Nowzari | Urology | Skyline Urology | 23600 Telo Ave, Suite 220, Torrance, CA 90505-4039 |
| Adam G Mogil | Physician Assistant | Skyline Urology | 23600 Telo Ave, Suite 220, Torrance, CA 90505-4039 |
| Abbey Beth Gaske | Urology | Skyline Urology | 23600 Telo Ave, Suite 220, Torrance, CA 90505-4039 |
| Marc Jonathan Stratton | Urology | Skyline Urology | 23600 Telo Ave, Suite 220, Torrance, CA 90505-4039 |
| David Park | Pathology | Skyline Urology | 23600 Telo Ave, Suite 220, Torrance, CA 90505-4039 |
| Street Address |
23456 HAWTHORNE BLVD SUITE 260 |
| City | TORRANCE |
| State | CA |
| Zip | 90505-4716 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James M Loddengaard | Orthopedic Surgery | Torrance Orthopaedic and Sports Medicine Medical Group | 23456 Hawthorne Blvd, Suite 300, Torrance, CA 90505-4716 |
| Daniel R Stephenson | Orthopedic Surgery | Torrance Orthopaedic and Sports Medicine Medical Group | 23456 Hawthorne Blvd, Suite 300, Torrance, CA 90505-4716 |
| Nicholas M Halikis | Hand Surgery | Torrance Orthopaedic and Sports Medicine Medical Group | 23456 Hawthorne Blvd, Suite 300, Torrance, CA 90505-4716 |
| Allyson Estess | Orthopedic Surgery | Sports and Spine Orthopaedics | 23456 Hawthorne Blvd, Suite 200, Torrance, CA 90505-4716 |
| Glenn J Huber | Orthopedic Surgery | Torrance Orthopaedic and Sports Medicine Medical Group | 23456 Hawthorne Blvd, Suite 300, Torrance, CA 90505-4716 |
| Melissa M Camouse | Dermatology | Malcolm Ke Md A Professional Corporation | 23456 Hawthorne Blvd, Suite 100, Torrance, CA 90505-4752 |
| Todd A Shrader | Orthopedic Surgery | Torrance Orthopaedic and Sports Medicine Medical Group | 23456 Hawthorne Blvd, Suite 300, Torrance, CA 90505-4716 |
| Alec S Koo | Urology | Skyline Urology | 23456 Hawthorne Blvd, Suite 260, Torrance, CA 90505-4716 |
| Brittany A Bellows | Physician Assistant | Torrance Orthopaedic and Sports Medicine Medical Group | 23456 Hawthorne Blvd, Suite 300, Torrance, CA 90505-4716 |
| Kenneth K Park | Orthopedic Surgery | Torrance Orthopaedic and Sports Medicine Medical Group | 23456 Hawthorne Blvd, Suite 300, Torrance, CA 90505-4716 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert E Tamayo | Optometry | Maison Optique Optometric Center | 3525 Pacific Coast Hwy, Suite E, Torrance, CA 90505 |
| Linh H Tu | Optometry | Maison Optique Optometric Center | 3525 Pacific Coast Hwy, Suite E, Torrance, CA 90505 |
| David A Bray Jr. | Otolaryngology | 3445 Pacific Coast Hwy, Suite 320, Torrance, CA 90505-0660 | |
| Nhat H Tran | Physical Medicine and Rehabilitation | 3655 W Lomita Blvd, Suite 421, Torrance, CA 90505-1900 | |
| Tai Hon Lin | Internal Medicine | 3655 Lomita Blvd, Suite 101, Torrance, CA 90505-1901 | |
| Thomas S Lin | Internal Medicine | 3655 Lomita Blvd, Suite 101, Torrance, CA 90505-1901 | |
| Tatyana S Sarkisova | Family Medicine | 3655 Lomita Blvd, Suite 108, Torrance, CA 90505-1902 | |
| Gladys E Palomeno | Endocrinology | 3655 Lomita Blvd, Suite 100, Torrance, CA 90505-1905 | |
| Akihiro Mizuta | Family Medicine | 3655 Lomita Blvd, Suite 115, Torrance, CA 90505-1906 | |
| Pooya Lashkari | Podiatry | 3655 Lomita Blvd, Suite 120, Torrance, CA 90505-1907 | |
| Find all physicians in zip 90505 | |||
| City | TORRANCE |
| Zip Code | 90505 |
| Specialty | UROLOGY |
| City + Specialty | TORRANCE + UROLOGY |
Please comment or provide details below to improve the information on Royal 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.