Individual provider Active NPI

Hyun K Park, DO

  • Anesthesiology Physician
  • Los Angeles, CA
National Provider Identifier
1790851236
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
20A 9242 Issued in CA
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

Updated by the provider on Jun 30, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110131000590 CA Practitioner - Anesthesiology 0446439848 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Usc Care Medical Group IncGroup PAC ID 0446157747, 1,378 clinicians

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

LicenseStateTypeSpecialty
20A 9242CAMDAnesthesiology Physician
20A9242CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Usc Care Medical Group, Inc CurrentSince May 1, 2025 Accepting new patients
Pacific Valley Medical Group Anesthesiology CurrentSince Feb 22, 2012 Accepting new patients
Usc Care Medical Group, Inc Anesthesiology CurrentSince May 1, 2025 Accepting new patients
Tip Top Anesthesia Group Inc CurrentSince Mar 20, 2025 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.