MEDICARE: PETER H PARK MD INC

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	G67513	CA

General Provider Information

NPI Number	:	1942447701
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PETER H PARK MD INC

Provider Business Mailing Address
First Line	:	3456 W. OLYMPIC BLVD.
Second Line	:	101
City	:	LOS ANGELES
State	:	CA
Zip	:	90019-2124
Country	:	US
Telephone Number	:	213-386-3450
Fax Number	:	213-386-3457

Provider Business Practice Location Address
First Line	:	3456 W. OLYMPIC BLVD.
Second Line	:	101
City	:	LOS ANGELES
State	:	CA
Zip	:	90019-2124
Country	:	US
Telephone Number	:	213-386-3450
Fax Number	:	213-386-3457

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. PETER H PARK
Credential	:	M.D.
Telephone Number	:	213-739-9936

Provider Enumeration Date	:	01/15/2009
Last Update Date	:	12/13/2022

Similar Medicare Providers

1225076516 — DR. PETER H PARK M.D,
Practice Location Address:

3456 W. OLYMPIC BLVD. , 101
LOS ANGELES, CA
90019-2124

Practice Phone: 213-386-3450
Practice Fax: 213-386-3457

1629319462 — MR. CHANG HOON OH L. AC.
Practice Location Address:

3460 W OLYMPIC BLVD
LOS ANGELES, CA
90019-2124

Practice Phone: 323-733-8814
Practice Fax: 323-733-8817

1528467891 — YONG KIM AC
Practice Location Address:

3460 W OLYMPIC BLVD
LOS ANGELES, CA
90019-2124

Practice Phone: 323-733-8814
Practice Fax: 323-733-8817

1851919864 — KYOUNG JOO NA
Practice Location Address:

3460 W OLYMPIC BLVD
LOS ANGELES, CA
90019-2124

Practice Phone: 323-733-8814
Practice Fax:

1144259847 — A G S DIAGNOSTIC SERVICES INC
Practice Location Address:

5455 WILSHIRE BLVD STE 2124
LOS ANGELES, CA
90036-4201

Practice Phone: 323-988-4564
Practice Fax:

1437351012 — SPOTLINK MEDICAL SUPPLY INC
Practice Location Address:

1851 W FLORENCE AVE
LOS ANGELES, CA
90047-2124

Practice Phone: 323-759-0653
Practice Fax: 323-759-6124

Directions to “PETER H PARK MD INC ” 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.