JIN K PARK (NPI# 1285772731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285772731 |
| Entity Type | Individual |
| Full Name | JIN K PARK |
| Credential | M.D. |
| Practice Address |
3663 W 6th St #302 Los Angeles CA 90020-3049 |
| Practice Telephone | 2133803306 |
| Practice Fax Number | 2133849753 |
| Mailing Telephone | 2133803306 |
| Mailing Fax Number | 2133849753 |
| Enumeration Date | 2007-02-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
A35787 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE LICENSE NUMBER | A35787 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730619032 | Jin Park | Acupuncturist | 1096 N Western Ave Ste 107, Los Angeles, CA 90029-2340 | 2017-06-19 |
| 1972767069 | Jin Park | Optometrist | 266 Yorktown Ctr, Lombard, IL 60148-5526 | 2008-07-17 |
| 1245440486 | Jin Woo Park | Acupuncturist | 1323 Phillips Dr, Fullerton, CA 92833-5641 | 2007-05-23 |
| 1255548343 | Jin Sook Park | Physical Therapist | 630 Hillcrest Dr, Redwood City, CA 94062 | 2007-05-17 |
| 1336264126 | Jin Won Park | Acupuncturist | 9042 Garden Grove Blvd Ste 299, Garden Grove, CA 92844-1370 | 2007-03-20 |
| 1164552246 | Jin Hwi Park | Dentist | 9295 Magnolia Ave, #103, Riverside, CA 92503-3800 | 2007-03-06 |
| 1992800353 | Jin Hewa Park | Family Medicine | 250 W San Jose Ave, Claremont, CA 91711-5207 | 2006-09-13 |
| 1962436550 | Jin Sup Park | Radiology | 8619 Pasture View Ln, Houston, TX 77024-7039 | 2006-07-10 |
| 1053948034 | Jin Patrick Park | Student in an Organized Health Care Education/Training Program | 505 E 70th St, New York, NY 10021-4872 | 2020-03-27 |
| 1073052478 | Jin Park | Pharmacist | 1900 E Lambert Rd, Brea, CA 92821-4371 | 2017-02-17 |
| Street Address |
3663 W 6TH ST #302 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90020-3049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831129063 | La Town Medical Group, Inc. | Internal Medicine | 3663 W 6th St, Suite 206, Los Angeles, CA 90020-3049 | 2006-07-04 |
| 1700387891 | Young Soon Yang | Nurse Practitioner | 3663 W 6th St, 103, Los Angeles, CA 90020-3047 | 2018-02-23 |
| 1386145712 | Jonah Medical Group Inc | Nurse Practitioner | 3663 W 6th St, 103, Los Angeles, CA 90020-3049 | 2018-02-21 |
| 1407220171 | Sun Rye Lee | Acupuncturist | 3663 W 6th St, #308, Los Angeles, CA 90020 | 2015-11-18 |
| 1881070746 | Hei-paik Kim M D Inc | Clinic/Center | 3663 W 6th St, 203, Los Angeles, CA 90020-3049 | 2015-08-03 |
| 1821406471 | Song Hoe Koo Dds Inc | Clinic/Center | 3663 W 6th St, #204, Los Angeles, CA 90020-3049 | 2014-07-28 |
| 1063853042 | Harry Sukyun Lee | Acupuncturist | 3663 W 6th St, #308, Los Angeles, CA 90020 | 2013-07-08 |
| 1275973968 | Kingsley Pharmacy | Pharmacy | 3663 W 6th St, #102, Los Angeles, CA 90020-3049 | 2013-06-27 |
| 1891072476 | Ardmore Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 3663 W 6th St, Ste108, Los Angeles, CA 90020-3049 | 2011-11-09 |
| 1740577873 | Young H. Kim and Doil Kim Dds Inc | Dentist | 3663 W 6th St, Suite #207, Los Angeles, CA 90020-3049 | 2011-07-10 |
| Find all providers in the same location | ||||
| 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 | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689607293 | Gudata Hinika | Surgery | 5141 Crenshaw Blvd, Los Angeles, CA 90043-1853 | 2006-07-08 |
| 1457504748 | Peep Talving | Surgery | 1200 N State St, Room # 9900, Los Angeles, CA 90033-1029 | 2008-10-30 |
| 1821265273 | Dur Hinika Surgical, A Professional Medical Corporation | Surgery | 5141 Crenshaw Blvd, Los Angeles, CA 90043-1853 | 2008-05-14 |
| 1689849481 | Ladera Medical Practice Inc | Surgery | 5141 Crenshaw Blvd, Los Angeles, CA 90043-1853 | 2008-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558809277 | Southern California Hepatobiliary Pancreatic and Robotic Surgery Ins | Surgery | 5805 Sepulveda Blvd Ste 690, Sherman Oaks, CA 91411 | 2017-02-01 |
| 1609212919 | Daniel Eldridge Smith | Surgery | 11175 Campus St # 21111, Loma Linda, CA 92350 | 2013-05-14 |
| 1841553187 | Ning Lu | Surgery | 9898 Genesee Ave Fl 1, La Jolla, CA 92037-1205 | 2012-06-21 |
| 1942588868 | Trauma & Critical Care Sfv Group Inc | Surgery | 11550 Indian Hills Road, Suite 310, Mission Hills, CA 91345 | 2011-07-26 |
| 1467652859 | Trauma Vascular Surgeons Inc | Surgery | 12400 Ventura Blvd # 374, Studio City, CA 91604-2406 | 2007-07-23 |
| 1194819532 | North County Trauma Services, Inc. | Surgery | 451 March Avenue, Suite B, Healdsburg, CA 95448-3387 | 2006-10-02 |
| 1598863193 | Lawrence Roberts | Surgery | 7930 Frost St Ste 204, San Diego, CA 92123-2739 | 2006-09-20 |
| 1467563791 | North County Trauma Associates, Inc. A Medical Group | Surgery | 215 South Hickory Avenue, Suite 112, Escondido, CA 92025-4360 | 2006-08-31 |
| 1922116987 | Dinh Nhatton Nguyen | Surgery | 1800 Harrison St Fl 7, Oakland, CA 94612-3466 | 2006-08-29 |
| 1477564474 | Todd A Kanen | Surgery | 5333 Hollister Ave Ste 210, Santa Barbara, CA 93111-3331 | 2006-08-11 |
| Find all providers with the same taxonomy | ||||
| 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.