Active NPI
Hyun K Park, DO
- Anesthesiology Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 20A 9242
- Practice address
- 3961 Via Marisol Apt 307
Los Angeles, CA 90042-5086 - Phone
- (323) 829-9578
- Fax
- (323) 224-8566
- NPI assigned
- Nov 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 20A9242 | CA | |
| Anesthesiology Physician | 207L00000X | 20A 9242 | CA | Primary |
Addresses
Primary practice location
3961 Via Marisol Apt 307
Los Angeles, CA 90042-5086
Mailing address
3961 Via Marisol Apt 307
Los Angeles, CA 90042-5086
Phone (323) 829-9578
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 San Pablo St
Los Angeles, CA 90033-5313
Phone (323) 442-8444
1516 San Pablo St
Los Angeles, CA 90033-5313
Phone (800) 872-2273
1520 San Pablo St
Los Angeles, CA 90033-5310
Phone (800) 872-2273
1520 San Pablo St 1St Floor N
Los Angeles, CA 90033-5310
Phone (800) 872-2273
300 W Hungtington Dr
Arcadia, CA 91007-3402
Phone (626) 898-8000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A 9242 | CA | MD | Anesthesiology Physician |
| 20A9242 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usc Care Medical Group, Inc | Current | Accepting new patients | |
| Pacific Valley Medical Group | Anesthesiology | Current | Accepting new patients |
| Usc Care Medical Group, Inc | Anesthesiology | Current | Accepting new patients |
| Tip Top Anesthesia Group Inc | Current | Accepting new patients | |
| Huntington Hospital Association | Past | Accepting new patients |
Locations
300 W Huntington Dr
Arcadia, CA 91007
Phone (626) 445-4441
420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647
1001 Tower Way
Ste 150
Bakersfield, CA 93309
Phone (310) 779-3025
50 N La Cienega Blvd
Ste 203
Beverly Hills, CA 90211
Phone (323) 988-0896
15503 Ventura Blvd
Ste 200
Encino, CA 91436
Phone (818) 788-7288
1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849
1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555
2131 W 3rd St
Los Angeles, CA 90057
Phone (213) 484-5525
333 S Arroyo Pkwy
Fl 3
Pasadena, CA 91105
Phone (626) 440-9161
100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445
797 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 535-2434
Organizations & group practices 5
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.
-
- General Practice Physician
- Los Angeles, CA
- NPI 1902846306
Anesthesiology
-
- Anesthesiology Physician
- Pasadena, CA
- NPI 1851312862
-
- Licensed Practical Nurse
- Beverly Hills, CA
- NPI 1508283698
-
- Durable Medical Equipment & Medical Supplies
- Pasadena, CA
- NPI 1427937390
-
- General Acute Care Hospital
- Huntington, NY
- NPI 1508845322
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1013514199
-
- General Acute Care Hospital
- Arcadia, CA
- NPI 1508851288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277856000000",
"number": "1790851236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3961 VIA MARISOL APT 307",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900425086",
"telephone_number": "323-829-9578",
"fax_number": "323-224-8566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3961 VIA MARISOL APT 307",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900425086",
"telephone_number": "323-829-9578",
"fax_number": "323-224-8566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "HYUN",
"middle_name": "K",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-27",
"last_updated": "2010-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "20A9242",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "20A 9242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.