JAE PAUL PAK, M.D. CORPORATION (NPI# 1013139856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013139856 |
| Entity Type | Organization |
| Organization Name | JAE PAUL PAK, M.D. CORPORATION |
| Practice Address |
5757 Wilshire Blvd Suite 2 Los Angeles CA 90036-5810 |
| Mailing Address |
20849 Brighton Ave Torrance CA 90501-2308 |
| Practice Telephone | 3108490326 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2012-06-07 |
| Authorized Official Name | DR. JAE PAUL PAK (PRESIDENT) |
| Authorized Official Telephone | 3108490326 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | A96732 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
5757 WILSHIRE BLVD SUITE 2 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90036-5810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417950197 | Museum Center Surgery Group Inc. | Clinic/Center | 5757 Wilshire Blvd, Promenade 6, Los Angeles, CA 90036-3681 | 2005-05-24 |
| 1871078972 | Shahbaz Farnad Md Professional Corporation | Anesthesiology | 5757 Wilshire Blvd, Promenade 2, Los Angeles, CA 90036 | 2018-09-25 |
| 1528499415 | Wilshire Center for Cosmetic Surgery, A Professional Corporation | Clinic/Center | 5757 Wilshire Blvd, Promenade 2, Los Angeles, CA 90036-5810 | 2013-12-03 |
| 1679911234 | Jason Sven Wersland | Chiropractor | 5757 Wilshire Blvd, Los Angeles, CA 90036-5810 | 2013-06-05 |
| 1689917338 | Advanced Surgery Center of Beverly Hills, LLC | Clinic/Center | 5757 Wilshire Blvd, Promenade 1, Los Angeles, CA 90036-5810 | 2013-04-01 |
| 1952647166 | Simon Kohanoff | Chiropractor | 5757 Wilshire Blvd, Los Angeles, CA 90036-5810 | 2012-12-14 |
| 1528303203 | Steven Ryan Selby | Chiropractor | 5757 Wilshire Blvd, Suite 601, Los Angeles, CA 90036-5810 | 2012-12-06 |
| 1689928541 | Hasmig Darakian | Physician Assistant | 5757 Wilshire Blvd, Suite 490, Los Angeles, CA 90036-5810 | 2012-10-30 |
| 1629324454 | Yuko Mori | Marriage & Family Therapist | 5757 Wilshire Blvd, #635, Los Angeles, CA 90036-5810 | 2012-07-30 |
| 1104180264 | Wilshire Center for Dermatology, A Professional Corporation | Dermatology | 5757 Wilshire Blvd, Promenade 2, Los Angeles, CA 90036-5810 | 2012-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140198 | Stephanie N Carter | Dietitian, Registered | 460 Burnside Ave, Apt 8k, Los Angeles, CA 90036 | 2020-06-26 |
| 1609492107 | Katherine Niemela | Registered Nurse | 5619 W 4th St, Suite 5, Los Angeles, CA 90036 | 2020-06-19 |
| 1508384330 | Matthew Milstein | Psychologist | 5675 West Olympic Blvd., Los Angeles, CA 90036 | 2017-08-31 |
| 1912423963 | John Allen Ostlund | Counselor | 5675 W. Olympic Blvd, Los Angeles, CA 90036 | 2017-08-21 |
| 1306376629 | Scott William Wilson | Case Manager/Care Coordinator | 1891 N. Gaffey Street Suite 219 & 221, San Pedro, CA 90036 | 2017-06-19 |
| 1205382298 | Janice Payson | Marriage & Family Therapist | 801 South Spaulding Avenue, Suite A, Los Angeles, CA 90036 | 2016-08-30 |
| 1134577281 | Parul A Desai | Registered Nurse | 5800 Wilshire Blvd, Los Angeles, CA 90036 | 2016-05-31 |
| 1477914604 | Sarah Frank Jarvis | Marriage & Family Therapist | 7421 Beverly Blvd Ste 2, Los Angeles, CA 90036 | 2016-03-16 |
| 1558747162 | Paul Oberon, Psy.d, Inc. | Community/Behavioral Health | 7421 Beverly Blvd., #10, Los Angeles, CA 90036 | 2015-08-05 |
| 1235543117 | Benjamin Maixner | Behavioral Analyst | 441 1/2 N Curson Ave, Los Angeles, CA 90036 | 2014-06-18 |
| Find all providers in zip 90036 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558717983 | James Marvel | Emergency Medicine | 1520 Rodney Dr Apt 411, Los Angeles, CA 90027-5327 | 2016-05-04 |
| 1871956359 | Gregory Elbert Tong | Emergency Medicine | 942 Westwood Boulevard, Suite 300, Los Angeles, CA 90024 | 2016-04-01 |
| 1073979704 | Erik Akopian | Emergency Medicine | 1200 N State St Ste Ct-a7d, Los Angeles, CA 90033-1029 | 2016-01-11 |
| 1043685969 | Abraham Flinders | Emergency Medicine | 1021 N Bonnie Brae St, Los Angeles, CA 90026-3110 | 2015-12-03 |
| 1164892501 | Benjamin Musser | Emergency Medicine | 1957 Preston Ave, Los Angeles, CA 90026-1827 | 2015-09-28 |
| 1295138022 | Brian Raffetto | Emergency Medicine | 1200 N State St Rm A7d, Los Angeles, CA 90033-1029 | 2014-10-07 |
| 1427450691 | Ariel Justine Bowman | Emergency Medicine | 1200 N. State Street, Ct-room A7d, Los Angeles, CA 90033 | 2014-09-19 |
| 1093150476 | Sushil Jain | Emergency Medicine | 6041 Cadillac Ave Dept Of, Los Angeles, CA 90034-1702 | 2013-04-30 |
| 1497198402 | Russell Andrew Johnson | Emergency Medicine | 100 Ucla Medical Plaza Suite 490, Los Angeles, CA 90095-1103 | 2013-04-09 |
| 1114260858 | Catherine Marie Weaver | Emergency Medicine | 757 Westwood Plz Ste 1517, Los Angeles, CA 90095-8358 | 2013-04-01 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90036 |
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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.