Paul W Park Medical Group Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A91067 Issued in CA

Legal business name

PAUL W PARK MEDICAL GROUP INC

Practice address

4278 W 3Rd St
Los Angeles, CA 90020-3449

Phone

(213) 368-0388

Fax

(213) 368-0389

NPI assigned

Jan 9, 2012

Organization subpart

No

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

Authorized official

Name

Paul Wonyoung Park, MD

Title

Owner

Phone

(713) 385-0618

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1326067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492992000000",
    "number": "1841560802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7512 YANKEY ST",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902422242",
            "telephone_number": "713-385-0618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4278 W 3RD ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900203449",
            "telephone_number": "213-368-0388",
            "fax_number": "213-368-0389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL W PARK MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-09",
        "last_updated": "2017-04-24",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "WONYOUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-385-0618",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A91067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Oberon, Psy.D., Inc.
• Paul R. Fox, M.D. a Professional Corporation
• Paul T Dang Inc
• Paul T Urrea M D M P H Inc
• Paul Tran
• Paul Y.Oh, M.D. and Young C. Oh, M.D.
• Phyllis Denine Paul-Jordan, MD
• Amber Karena Paul
• Andrea Elizabeth Paul, MA, LPCC
• Arielle Chudnofsky Paul, M.D.

• Ophthalmology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; 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.