MICHAEL PARK
NPI 1013514777
Specialist in Los Angeles, CA

Active since October 06, 2020
515 COLUMBIA AVE STE 200, LOS ANGELES, CA 90017(213) 219-5802 Get Directions Write a Review

NPPES record last updated: June 6, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 6, 2023, Oct 6, 2020 (2 updates tracked since 2020).

About Michael Park NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL PARK (NPI 1013514777) is an individual specialist in Los Angeles, California and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1013514777
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMICHAEL PARK
Location Address515 COLUMBIA AVE STE 200Los Angeles, CA 90017-1209
Mailing Address515 Columbia Ave Ste 200Los Angeles, CA 90017-1209
Sole ProprietorNo
Enumeration DateOctober 6, 2020
Last NPPES UpdateJune 6, 20232 updates tracked since enumeration
NPPES CertifiedJune 6, 2023
NPI 1013514777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
515 COLUMBIA AVE STE 200, Los Angeles, CA 90017

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
515 COLUMBIA AVE STE 200
LOS ANGELES, CA 90017
Community Health Worker
515 COLUMBIA AVE STE 200
LOS ANGELES, CA 90017
Licensed Vocational Nurse
515 COLUMBIA AVE STE 200
LOS ANGELES, CA 90017
Community Health Worker
515 COLUMBIA AVE STE 200
LOS ANGELES, CA 90017
Community Health Worker
515 COLUMBIA AVE STE 200
LOS ANGELES, CA 90017
Community Health Worker
515 COLUMBIA AVE STE 200
LOS ANGELES, CA 90017
Social Worker (Clinical)
515 COLUMBIA AVE STE 200
LOS ANGELES, CA 90017
Social Worker (Clinical)
515 COLUMBIA AVE STE 200
LOS ANGELES, CA 90017

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013514777, enumerated as an "individual" on October 06, 2020.

The provider is located at 515 COLUMBIA AVE STE 200 LOS ANGELES, CA 90017 and the phone number is (213) 219-5802.

Specialist with taxonomy code 174400000X.