Elena Park

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

118414 Issued in CA

Practice address

5535 Balboa Blvd Ste 202
Encino, CA 91316-1541

Phone

(818) 646-7190

NPI assigned

Sep 11, 2024

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

State licenses

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

{
    "created_epoch": "1726012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1225864671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7225 CRESCENT PARK W APT 140",
            "city": "PLAYA VISTA",
            "state": "CA",
            "postal_code": "900942724",
            "telephone_number": "562-561-8640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5535 BALBOA BLVD STE 202",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161541",
            "telephone_number": "818-646-7190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "ELENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-11",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "118414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymundo G Paras Jr., M.D.
• Idaly Paredes-Sanchez
• Claro Acio Paredes, MA
• Nirali Parikh, DPT
• Arnold Zorel Paritzky, MD
• Mark C. Park, O.D.
• Christian Parker
• Toni Feld Parker, PH.D
• Daniel Parnell, M.D.
• Marine Paronyan, MA BCBA

• Clinical Social Worker in Encino, CA
• Providers in Encino, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.