ELLEN PARK (NPI# 1740892645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740892645 |
| Entity Type | Individual |
| Full Name | ELLEN PARK |
| Credential | OTR/L |
| Practice Address |
3148 W 11th St Los Angeles CA 90006-2322 |
| Practice Telephone | 2132002591 |
| Mailing Telephone | 2132002591 |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2020-08-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 439575 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528313863 | Ellen Miyoung Park | Counselor | 3261 Ne 100th St, Seattle, WA 98125-7816 | 2012-07-23 |
| 1821327826 | Ellen Jung Park | Occupational Therapist | 14119 Deerbrook Ln, Chino Hills, CA 91709-4807 | 2009-12-22 |
| 1174090179 | Ellen Sunghee Park | Pharmacist | 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 | 2018-10-28 |
| 1619475043 | Ellen Park | Occupational Therapist | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2018-01-31 |
| 1922559442 | Ellen Sae Eun Park | Nurse Practitioner | 2232 Sepulveda Blvd, Torrance, CA 90501-5301 | 2016-10-19 |
| 1508310673 | Ellen Park | Dentist | 620 Alabama St, Redlands, CA 92373-8059 | 2016-08-06 |
| 1568712362 | Ellen Park | Optometrist | 1689 Arden Way, Sacramento, CA 95815-4030 | 2012-09-19 |
| 1801057732 | Ellen Jiwon Park | Anesthesiology | 1500 San Pablo St, 4th Floor Anes, Los Angeles, CA 90033-5313 | 2008-06-23 |
| 1619075413 | Ellen Park | Student in an Organized Health Care Education/Training Program | 625 Elmwood Ave, Box 683, Rochester, NY 14620-2913 | 2006-09-20 |
| 1821104191 | Ellen S Park | Radiology | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2006-08-21 |
| Street Address |
3148 W 11TH ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90006-2322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114583549 | Ruahrena Corporation | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3053 West Olympic Boulevard, Suite 301, Los Angeles, CA 90006 | 2019-05-10 |
| 1770048266 | Luxi Optometry, Inc | Ophthalmology | 3250 W. Olympic Blvd #221, Los Angeles, CA 90006 | 2019-02-08 |
| 1053895565 | Lili Mirtorabi D.d.s A Professional Corporation | Dentist | 2368 Pico Boulevard, Los Angeles, CA 90006 | 2018-09-20 |
| 1083192116 | Sanghee Hong | Nurse Practitioner | 2655 W Olympic Blvd Ste 101, Los Angeles, CA 90006 | 2018-07-31 |
| 1134638919 | Joon Hyung Kim | Chiropractor | 3130 W. Olympic Blvd., Suite 350, Los Angeles, CA 90006 | 2017-09-25 |
| 1578082988 | Judy Lee | Behavior Technician | 900 South Serrano Ave #401, Los Angeles, CA 90006 | 2017-09-18 |
| 1689126773 | Seungah Madison Lee | Acupuncturist | 3053 W. Olympic Blvd, #311, Los Angeles, CA 90006 | 2016-10-25 |
| 1790149789 | Kihyun Kim | Acupuncturist | 975 S. Vermont Ave, #201, Los Angeles, CA 90006 | 2016-04-06 |
| 1407215486 | Young Zoo Kim | Acupuncturist | 1001 S. Vermont Ave, #207, L.a., CA 90006 | 2016-02-18 |
| 1376916817 | Global Eastern Medicine Group | Acupuncturist | 1010 S. Fedora St. #101, Los Angeles, CA 90006 | 2015-11-05 |
| Find all providers in zip 90006 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875024 | Sharon Kim Lee | Occupational Therapist | 1015 Figueroa Ter Apt 11, Los Angeles, CA 90012-4603 | 2020-09-11 |
| 1295348175 | Care for Me Ot | Occupational Therapist | 1551 Manning Ave Apt 203, Los Angeles, CA 90024-7412 | 2020-08-28 |
| 1093328395 | Sabrina Sabet | Occupational Therapist | 10833 Wilshire Blvd Apt 522, Los Angeles, CA 90024-4385 | 2020-08-26 |
| 1235747692 | Amandarose Prado Webb | Occupational Therapist | 3112 Bagley Ave Apt 7, Los Angeles, CA 90034-2939 | 2020-07-21 |
| 1447868641 | Myra Jeanne Chang | Occupational Therapist | 3036 Stoner Ave, Los Angeles, CA 90066-1108 | 2020-07-14 |
| 1003434846 | Brian Chen | Occupational Therapist | 4205 Lockwood Ave # 3, Los Angeles, CA 90029-2917 | 2020-07-08 |
| 1023630639 | Spot for Kids Inc | Occupational Therapist | 2234 S Canfield Ave, Los Angeles, CA 90034-1134 | 2020-05-18 |
| 1942839097 | Rebecca Lindsey Moss | Occupational Therapist | 2115 Ridge Dr, Los Angeles, CA 90049-1153 | 2020-04-01 |
| 1538795000 | Lauren Monique Espinoza | Occupational Therapist | 1540 Alcazar St # Steet133, Los Angeles, CA 90089-0186 | 2020-03-17 |
| 1629601109 | Lael Alexandra Mcleod | Occupational Therapist | 1635 Rodney Dr Apt 1, Los Angeles, CA 90027-5443 | 2020-02-13 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90006 |
Please comment or provide details below to improve the information on ELLEN PARK.
| 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.