Sung Park

Primary specialty

Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X

License

A51126 Issued in CA

Practice address

10999 Riverside Dr Ste 306
North Hollywood, CA 91602-2239

Phone

(818) 824-3702

Fax

(818) 824-3712

NPI assigned

Jan 14, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Eminent Hospice Care, Inc.

  • Community Based Hospice Care Agency
  • Van Nuys, CA
  • NPI 1992134696
  NPD (past)

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

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1700537305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10999 RIVERSIDE DR STE 306",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916022239",
            "telephone_number": "818-824-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10999 RIVERSIDE DR STE 306",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916022239",
            "telephone_number": "818-824-3702",
            "fax_number": "818-824-3712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "SUNG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-14",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "A51126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992134696",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paradise Independent Care Inc
• Paradiso Hospice, Inc.
• Marco Pardo, CATC-IV
• Michelle N/a Parieva, N/A
• Jonghee Park
• Alex Parker
• Charles Reed Parker, MD
• Woodrow T Parker, CMT
• Paronian Medical Group, Inc.
• Oganes Paronian, MD

• Hospice and Palliative Medicine (Internal Medicine) Physician in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Hospice and Palliative Medicine (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; 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.