MEDICARE: SANG KYU PARK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant	49936	CA

General Provider Information

NPI Number	:	1245869932
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANG KYU PARK

Provider Business Mailing Address
First Line	:	421 S LA FAYETTE PARK PL APT 515
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90057-1651
Country	:	US
Telephone Number	:	213-215-0650
Fax Number	:

Provider Business Practice Location Address
First Line	:	421 S LA FAYETTE PARK PL APT 515
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90057-1651
Country	:	US
Telephone Number	:	213-215-0650
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2020
Last Update Date	:	04/03/2020

Similar Medicare Providers

1083564181 — TERESA CALABRESE AMFT, APCC
Practice Location Address:

7417 NAYLOR AVE
LOS ANGELES, CA
90045-1651

Practice Phone: 440-413-9665
Practice Fax:

1023235926 — DR. L KHADIJAH LANG M.D.
Practice Location Address:

4361 S WESTERN AVE
LOS ANGELES, CA
90062-1651

Practice Phone: 323-292-3900
Practice Fax: 323-295-2117

1396922647 — HALEY & LEE INC
Practice Location Address:

4361 S WESTERN AVE
LOS ANGELES, CA
90062-1651

Practice Phone: 323-295-5446
Practice Fax: 323-295-2117

1841589181 — MR. PATRICK LOSASSO CSCS, CPT
Practice Location Address:

1167 MONTECITO DR
LOS ANGELES, CA
90031-1651

Practice Phone: 323-422-9794
Practice Fax: 323-222-6952

1013616952 — MICHELLE KAY DEL ROSARIO OT
Practice Location Address:

1327 UPTON PL
LOS ANGELES, CA
90041-1651

Practice Phone: 323-640-1452
Practice Fax:

1326831652 — MARIAM YOKHANA RN
Practice Location Address:

1651 FEDERAL AVE APT 7
LOS ANGELES, CA
90025-2968

Practice Phone: 773-556-3204
Practice Fax:

Directions to “ SANG KYU PARK ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.