YOUNGEUN M PARK MD, MPH
NPI 1023360914
Pediatrics - Neonatal-Perinatal Medicine in West Hollywood, CA

Q: What is Youngeun Park's NPI number?

The NPI number for Youngeun Park is 1023360914. It was assigned to this individual provider in the NPPES registry on October 3, 2012.

Q: What is Youngeun Park's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Youngeun Park was last updated on June 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 03, 2012PECOS Enrolled

8700 BEVERLY BLVD STE 4221, WEST HOLLYWOOD, CA 90048(310) 423-4451(310) 423-2114 Get Directions Write a Review

NPPES record last updated: June 6, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 6, 2025, May 27, 2025 (2 updates tracked since 2025).

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About Youngeun M Park Md, Mph NPPES

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

YOUNGEUN M PARK MD, MPH (NPI 1023360914) is an individual neonatal-perinatal medicine provider in West Hollywood, California, licensed in California (A122681) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Orange.

NPPES Registry Identity

NPI1023360914

Entity TypeIndividualFemale

Primary Taxonomy2080N0001X

Provider Legal NameYOUNGEUN M PARKCredential: MD, MPH

Location Address8700 BEVERLY BLVD STE 4221West Hollywood, CA 90048-1804

Mailing Address4140 W 190th StTorrance, CA 90504-5513

Phone(310) 423-4451

Fax(310) 423-2114

Sole ProprietorNo

Enumeration DateOctober 3, 2012

Last NPPES UpdateJune 6, 20252 updates tracked since enumeration

NPPES CertifiedJune 6, 2025

✔ NPI 1023360914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in CA · A122681

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Also ListedPediatricsTaxonomy 208000000X · License A122681 (CA)

8700 BEVERLY BLVD STE 4221, West Hollywood, CA 90048

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Secondary Practice Location 1

Location 1455 S Main StOrange, CA 92868-3835 · Phone (714) 997-3000 ext. 8338

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Youngeun M Park Md, Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

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