LOUIS S PARK M D INC (NPI# 1255651378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255651378 |
Entity Type | Organization |
Organization Name | LOUIS S PARK M D INC |
Practice Address |
1300 N Vermont Ave # 600 Los Angeles CA 90027-6098 |
Practice Telephone | 2134848446 |
Practice Fax Number | 3239134351 |
Mailing Telephone | 2134848446 |
Mailing Fax Number | 3239134351 |
Enumeration Date | 2010-06-11 |
Last Update Date | 2017-10-12 |
Authorized Official Name | DR. LOUIS SANGSOO PARK (PRESIDENT) |
Authorized Official Telephone | 3106134945 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
G79245 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 00G792450 | 05 |
Street Address |
1300 N VERMONT AVE # 600 |
City | LOS ANGELES |
State | CA |
Zip Code | 90027-6098 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326653593 | Lamia Binhuwaishel | Student in an Organized Health Care Education/Training Program | 4650 Sunset Blvd, Craniofacial and Special Needs Ortho, Los Angeles, CA 90027 | 2020-09-14 |
1285242594 | Rocio Jimenez | Case Manager/Care Coordinator | 4650 Sunset Blvd, Mailstop #53, Los Angeles, CA 90027 | 2020-07-22 |
1558984799 | Integrative Endodontics, Inc | Dentist | 10850 Wilshine Blvd Ste 301, Los Angeles, CA 90027 | 2020-05-22 |
1104450295 | Sarayana Sercarz | Marriage & Family Therapist | 4080 Woking Way, Los Angeles, CA 90027 | 2020-02-27 |
1457991143 | George Michaiel | Pediatrics | 4650 Sunset Blvd., Ms #54, Los Angeles, CA 90027 | 2020-01-09 |
1477199297 | Molly Rose Holmes | Marriage & Family Therapist | 3901 Los Feliz Boulevard, #303, Los Angeles, CA 90027 | 2019-11-27 |
1588206171 | Dental Help Solutions, LLC | Dentist | 4606 Hollywood Blvd, Suite A, Los Angeles, CA 90027 | 2019-10-15 |
1457905986 | Carmen L Ponce | Physical Therapy Assistant | 4867 Sunset Ave, Los Angeles, CA 90027 | 2019-08-01 |
1447729009 | Matthew Mendoza | Respiratory Therapist, Registered | 4867 Sunset Blvd, Los Angeles, Ca, Los Angeles, CA 90027 | 2018-11-13 |
1659856284 | Leticia Mendez | Nurse Practitioner | 1300 N Vermont Ave 606, Los Angeles, CA 90027 | 2018-09-29 |
Find all providers in zip 90027 |
Taxonomy Code | 207RP1001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Pulmonary Disease |
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497297659 | Jon Bennett Glazier | Internal Medicine | 3343 Mandeville Canyon Rd, Los Angeles, CA 90049-1017 | 2016-11-04 |
1144586637 | Jason Hong | Internal Medicine | 200 Ucla Medical Plz Ste 365-b, Los Angeles, CA 90095-8344 | 2012-04-09 |
1366688236 | Archie Fredric Wilson | Internal Medicine | 11244 Homedale St, Los Angeles, CA 90049-3019 | 2008-12-26 |
1669627691 | William Fred Bierer | Internal Medicine | 9009 Beverly Blvd, Los Angeles, CA 90048 | 2008-11-18 |
1114191186 | Patricia Hedieh Eshaghian | Internal Medicine | Ucla Division of Pulmonary and Critical Care, Chs 37-131, Los Angeles, CA 90095-0001 | 2008-04-21 |
1588856538 | Caroline A. Kim | Internal Medicine | 6041 Cadillac Avenue, Suite 248, Kaiser Permanente, Los Angeles, CA 90034 | 2007-08-14 |
1790815082 | Los Angeles Lung Center - A Professional Medical Corporation | Internal Medicine | 1245 Wilshire Blvd Ste 305, Los Angeles, CA 90017-4803 | 2007-03-06 |
1912086331 | Yungae Kristy Kim | Internal Medicine | 3435 Wilshire Blvd Ste 500, Los Angeles, CA 90010-1906 | 2006-11-05 |
1780765933 | Ramadas Abboy | Internal Medicine | 1700 E Cesar E Chavez Ave Ste 3100, Los Angeles, CA 90033-2469 | 2006-10-17 |
1013097088 | Sabena Toor | Internal Medicine | 8635 W 3rd St Ste 355w, Los Angeles, CA 90048-6112 | 2006-10-16 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90027 |
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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.