Michelle Park

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95040460 Issued in CA

Practice address

8484 Wilshire Blvd Ste 620
Beverly Hills, CA 90211-3234

Phone

(424) 428-0910

NPI assigned

Jul 7, 2026

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jasmine Onyeka Obioha MD, Inc.

  dba Boutik Dermatology by ObiohaMD

  • Dermatology Physician
  • Beverly Hills, CA
  • NPI 1548985740
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1783382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1013835057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3063 BROOKHILL ST",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912141926",
            "telephone_number": "213-820-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8484 WILSHIRE BLVD STE 620",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113234",
            "telephone_number": "424-428-0910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-07",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95040460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandrea Park, PSY.D.
• Ann Park
• Aric Kihyun Park, M.D.
• Dorothy J. Park, M.D.
• Ji Won Park, PHARMD
• Samuel A Park, M.D
• Siyeon Park, L.AC.
• Ladonna Parker, M.A. MFT
• David Jay Parks, M.D.
• Pat Parks, PA -C

• Family Nurse Practitioner in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.