Ezekiel Park

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT23580 Issued in CA

Practice address

3460 Torrance Blvd Ste 100
Torrance, CA 90503-5812

Phone

(310) 371-8555

NPI assigned

Oct 5, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14973/brand/8/csg/1/fhir/r4

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.

• Kids in Motion Pediatric Therapy

  • Pediatric Occupational Therapist
  • Torrance, CA
  • NPI 1922471358

  Pediatrics

  NPD
• Kids in Motion Physical Therapy, Inc

  • Pediatric Physical Therapist
  • Torrance, CA
  • NPI 1033356597

  Pediatrics

  NPD
• Cortica Behavioral Health Inc

  • Neurology with Special Qualifications in Child Neurology Physician
  • San Diego, CA
  • NPI 1528587250
  NPD (past)
• Cortica Healthcare Inc

  • Health Service Clinic/Center
  • San Diego, CA
  • NPI 1801288535
  NPD (past)

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

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722643200000",
    "number": "1821563842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3460 TORRANCE BLVD STE 100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035812",
            "telephone_number": "310-371-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 TORRANCE BLVD STE 100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035812",
            "telephone_number": "310-371-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "EZEKIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-05",
        "last_updated": "2024-08-03",
        "certification_date": "2024-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "OT23580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Choi Park, DPM
• Changmo Park
• Claire Park, MD
• Dawnelle Park, DDS
• Enoch Joon Park
• Flora Park
• Hayoung Park
• Jason Chan Hyung Park, PT, DPT, SCS
• Jeffrey Park
• Jiyoung Park, PHARMD

• Pediatric Occupational Therapist in Torrance, CA
• Providers in Torrance, CA by specialty
• Pediatric Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.