MEDICARE: DANIEL DONGSU 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	363LF0000X	Family Nurse Practitioner	95036343	CA

General Provider Information

NPI Number	:	1124698733
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL DONGSU PARK

Provider Business Mailing Address
First Line	:	2727 W OLYMPIC BLVD STE 208
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90006-2640
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2727 W OLYMPIC BLVD STE 208
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90006-2640
Country	:	US
Telephone Number	:	213-908-6434
Fax Number	:

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

Provider Enumeration Date	:	06/26/2021
Last Update Date	:	01/09/2026

Similar Medicare Providers

1457411209 — SHIN W KANG
Practice Location Address:

2727 W OLYMPIC BLVD STE 206
LOS ANGELES, CA
90006-2640

Practice Phone: 213-380-7077
Practice Fax:

1639357056 — SHIN WOOK KANG MEDICAL CENTER INC
Practice Location Address:

2727 W OLYMPIC BLVD STE 206
LOS ANGELES, CA
90006-2640

Practice Phone: 213-380-7077
Practice Fax:

1902051659 — DR. AHRA CHO M.D.
Practice Location Address:

2727 W OLYMPIC BLVD STE 205
LOS ANGELES, CA
90006-2640

Practice Phone: 213-529-4251
Practice Fax:

1407165434 — JAE HYUNG CHO M.D.
Practice Location Address:

2727 W OLYMPIC BLVD STE 208
LOS ANGELES, CA
90006-2640

Practice Phone: 213-908-6434
Practice Fax: 213-908-5986

1295024974 — SHAWN H YANG L.AC
Practice Location Address:

2727 W OLYMPIC BLVD STE 210
LOS ANGELES, CA
90006-2640

Practice Phone: 213-384-1100
Practice Fax: 213-384-1101

1649601402 — SEON TAE KIM
Practice Location Address:

2727 W OLYMPIC BLVD STE 208
LOS ANGELES, CA
90006-2640

Practice Phone: 213-427-7600
Practice Fax:

Directions to “ DANIEL DONGSU 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.