PAUL W. PARK (NPI# 1083670152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083670152 |
| Entity Type | Individual |
| Full Name | PAUL W. PARK |
| Credential | M.D. |
| Practice Address |
4278 W 3rd St Los Angeles CA 90020-3449 |
| Mailing Address |
7512 Yankey St Downey CA 90242-2242 |
| Practice Telephone | 2133680388 |
| Practice Fax Number | 2133680389 |
| Mailing Telephone | 7133850618 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2017-04-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | A91067 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295140309 | Paul Park | Ophthalmology | 7600 W College Dr Ste 9, Palos Heights, IL 60463 | 2014-06-26 |
| 1316180037 | Paul Park | Internal Medicine | Box 3951 Or Trent Drive - Dumc, Gme Office, Rm 139-green Zone, Durham, NC 27710 | 2009-04-10 |
| 1801434360 | Paul Park IIi | Physical Therapist | 400 Parnassus Ave, San Francisco, CA 94143-2202 | 2019-12-16 |
| 1306491261 | Paul J Park | Dentist | 3145 Garden Ave, Building 1278, San Antonio, TX 78234 | 2019-08-07 |
| 1629537964 | Paul Park | Student in an Organized Health Care Education/Training Program | 22 S Greene St # S11c, Baltimore, MD 21201-1544 | 2019-03-17 |
| 1508339094 | Paul Park | Pharmacist | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2019-01-07 |
| 1932616034 | Paul Park | Marriage & Family Therapist | 6301 Beach Blvd Ste 245, Buena Park, CA 90621-4031 | 2018-01-10 |
| 1386195980 | Paul Park | Acupuncturist | 6954 Vaughn Rd, Montgomery, AL 36116-1368 | 2016-10-18 |
| 1679927206 | Paul Park | Internal Medicine | 2925 Chicago Ave, Minneapolis, MN 55407-1321 | 2016-04-20 |
| 1265886402 | Paul Park | Student in an Organized Health Care Education/Training Program | 622 W 168th St, Ph 11- 1138, New York, NY 10032-3720 | 2016-04-13 |
| Street Address |
4278 W 3RD ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90020-3449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841560802 | Paul W Park Medical Group Inc | Ophthalmology | 4278 W 3rd St, Los Angeles, CA 90020-3449 | 2012-01-09 |
| 1952631301 | Sok H Nam Md Inc | Ophthalmology | 4278 W 3rd St, Los Angeles, CA 90020-3449 | 2010-01-07 |
| 1538265632 | Sok Hwan Nam | Ophthalmology | 4278 W 3rd St, Los Angeles, CA 90020-3449 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164948048 | Edwina Antoinette Hunter | Community Health Worker | 550 S. Vermont Ave, 6th Floor, Los Angeles, CA 90020 | 2017-08-22 |
| 1639520661 | Jacqueline Carrasco | Counselor | 550 South Vermont Ave, 10th Floor, Los Angeles, CA 90020 | 2016-06-30 |
| 1649630914 | Hee Seung Lee | Marriage & Family Therapist | 3727 W. 6th Street, Suite 507, Los Angeles, CA 90020 | 2016-03-01 |
| 1134596273 | Jocelyn Marie Lee | Optometrist | 3750 W 6th St Ste 113, Los Angeles, CA 90020 | 2015-08-24 |
| 1316327075 | Lourdes Encarnacion Araujo | Social Worker | 550 S Vermont Ave 3rd Floor, Los Angeles, CA 90020 | 2015-06-08 |
| 1477933463 | Department of Mental Health | Clinic/Center | 550 South Vermont, Los Angeles, CA 90020 | 2015-06-04 |
| 1538566047 | Calvin A. Kim | Internal Medicine | 4220 W 3rd St Ste 201, Los Angeles, CA 90020 | 2014-11-26 |
| 1093115792 | John Abaya | Counselor | 550 S Vermont Ave 10th Floor, Los Angeles, CA 90020 | 2014-08-29 |
| 1528494481 | Sung Eun Lee | Acupuncturist | 340 S New Hampshire Ave #211, Los Angeles, CA 90020 | 2013-09-23 |
| 1861836587 | Robert Lee Smalls Jr. | Marriage & Family Therapist | 550 South Vermont Avenue, Juvenile Justice Transition Aftercare Services Division, Los Angeles, CA 90020 | 2013-04-24 |
| Find all providers in zip 90020 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407473754 | Janet K. Kim Md, Inc | Ophthalmology | 903 Crenshaw Blvd Ste 105, Los Angeles, CA 90019-1972 | 2020-07-02 |
| 1770048266 | Luxi Optometry, Inc | Ophthalmology | 3250 W. Olympic Blvd #221, Los Angeles, CA 90006 | 2019-02-08 |
| 1598238784 | Stanley S Kim Md, Inc | Ophthalmology | 3663 W 6th St Ste 200, Los Angeles, CA 90020-3048 | 2019-01-10 |
| 1811462542 | Eyecare Specialists Medical Group, Inc | Ophthalmology | 5120 W Goldleaf Cir Ste 20, Los Angeles, CA 90056-1292 | 2018-10-09 |
| 1386132744 | Masket Foundation Clinic for Eye Care | Ophthalmology | 2080 Century Park E Ste 911, Los Angeles, CA 90067-2012 | 2018-05-01 |
| 1922501154 | Maloney-shamie Vision Institute | Ophthalmology | 10921 Wilshire Blvd Ste 900, Los Angeles, CA 90024-4003 | 2018-03-14 |
| 1417484213 | Julie You Kwon Md Inc | Ophthalmology | 932 S Cloverdale Ave, Los Angeles, CA 90036-4817 | 2017-05-11 |
| 1932581642 | Eric Shieh | Ophthalmology | 100 Stein Plz Rm 2-132, Los Angeles, CA 90095-7065 | 2015-06-18 |
| 1275950115 | Daniel Lemor | Ophthalmology | 4036 Whittier Blvd Ste 202, Los Angeles, CA 90023 | 2014-03-27 |
| 1659705705 | Martin James Brickman | Ophthalmology | 2531 Mount Beacon Ter, Los Angeles, CA 90068-2444 | 2013-08-26 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90020 |
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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.