MEDICARE: DR. PATRICK T PARK M.D.

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	174400000X	Specialist	G76980	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215975594
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICK T PARK M.D.

Provider Business Mailing Address
First Line	:	266 S HARVARD BLVD
Second Line	:	320
City	:	LOS ANGELES
State	:	CA
Zip	:	90004-4372
Country	:	US
Telephone Number	:	213-739-1025
Fax Number	:	213-739-9936

Provider Business Practice Location Address
First Line	:	266 S HARVARD BLVD
Second Line	:	320
City	:	LOS ANGELES
State	:	CA
Zip	:	90004-4372
Country	:	US
Telephone Number	:	213-739-1025
Fax Number	:	213-739-9936

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

Provider Enumeration Date	:	06/02/2006
Last Update Date	:	11/17/2022

Similar Medicare Providers

1376542894 — DR. WONKYU PAK M.D.
Practice Location Address:

266 S HARVARD BLVD , SUITE 500
LOS ANGELES, CA
90004-4372

Practice Phone: 213-739-6900
Practice Fax:

1679511638 — PHILIP S DOH MD
Practice Location Address:

266 S HARVARD BLVD , # 350
LOS ANGELES, CA
90004-4372

Practice Phone: 213-444-6255
Practice Fax: 866-611-7731

1639228240 — AMASHA PHYSICAL THERAPY INC
Practice Location Address:

266 S HARVARD BLVD , SUITE 206
LOS ANGELES, CA
90004-4372

Practice Phone: 310-404-1571
Practice Fax: 213-402-2670

1154546497 — DR. SYED MAKSUDUL HOSSAIN M.D.
Practice Location Address:

266 S HARVARD BLVD , SUITE 210
LOS ANGELES, CA
90004-4372

Practice Phone: 818-343-2775
Practice Fax:

1780891101 — BRYAN H CHUNG DENTAL CORPORATION
Practice Location Address:

266 S HARVARD BLVD , #110
LOS ANGELES, CA
90004-4372

Practice Phone: 213-380-2727
Practice Fax: 213-380-2822

1477737559 — KANG HO KU D.D.S
Practice Location Address:

266 S HARVARD BLVD , 110
LOS ANGELES, CA
90004-4372

Practice Phone: 213-380-2727
Practice Fax: 213-380-2822

Directions to “ DR. PATRICK T PARK M.D.” 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.