Louis S Park M D Inc

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

G79245 Issued in CA

Legal business name

LOUIS S PARK M D INC

Practice address

1300 N Vermont Ave # 600
Los Angeles, CA 90027-6098

Phone

(213) 484-8446

Fax

(323) 913-4351

NPI assigned

Jun 11, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Louis Sangsoo Park, M.D.NPI 1962446039

Title

President

Phone

(310) 613-4945

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Louis Sang-Soo Park, M.D.

  • Pulmonary Disease Physician
  • Los Angeles, CA
  • NPI 1962446039
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1276214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507766400000",
    "number": "1255651378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N VERMONT AVE # 600",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276098",
            "telephone_number": "213-484-8446",
            "fax_number": "323-913-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N VERMONT AVE # 600",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276098",
            "telephone_number": "213-484-8446",
            "fax_number": "323-913-4351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUIS S PARK M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-11",
        "last_updated": "2017-10-12",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "SANGSOO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-613-4945",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "G79245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G792450",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shervin M Louie, DDS
• Victor Louie
• Vincent Louie
• Winnie Louie, PSY.D.
• Louis & Mary Jo Wong (2010 Pharmacy)
• Louis T Bascoy, M.D., Inc.
• Anthony Henry Louis
• Carolina Louis, MFT INTERN
• Richard Louis III
• Lourdes B. Capulong DDS Inc

• Pulmonary Disease Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Pulmonary Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.