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DR. ANDREW PARK MD
NPI 1033678305
Dermatology in Los Angeles, CA

Active since March 17, 2019PECOS EnrolledAccepts Medicare Assignment
11645 WILSHIRE BLVD STE 900, LOS ANGELES, CA 90025(424) 243-7668(213) 408-4414 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 12, 2026, Jun 27, 2025, Aug 30, 2023 and 1 more (4 updates tracked since 2019).

About Dr. Andrew Park Md NPPES

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

DR. ANDREW PARK MD (NPI 1033678305) is an individual dermatology provider in Los Angeles, California, licensed in California (A188055) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Long Beach, and is a graduate of Geisel School Of Medicine At Dartmouth (2019).

NPPES Registry Identity

NPI1033678305
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. ANDREW PARKCredential: MD
Location Address11645 WILSHIRE BLVD STE 900Los Angeles, CA 90025-6811
Mailing Address11645 Wilshire Blvd Ste 900Los Angeles, CA 90025-6811 · (424) 243-7668 · Fax (213) 408-4414
Phone(424) 243-7668
Fax(213) 408-4414
Sole ProprietorNo
Medical School CMSGeisel School Of Medicine At DartmouthGraduated 2019
Enumeration DateMarch 17, 2019
Last NPPES UpdateMay 12, 20264 updates tracked since enumeration
NPPES CertifiedMay 12, 2026
✔ NPI 1033678305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in CA · A188055
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
11645 WILSHIRE BLVD STE 900, Los Angeles, CA 90025
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Secondary Practice Location 1

Location 13828 Schaufele Ave Ste 300Long Beach, CA 90808-1793 · Phone (562) 997-1144 · Fax (562) 997-9881

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Andrew Park Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173970050
PECOS Enrollment IDI20231115000174
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
109 services18 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
80 services65 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
43 services38 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
30 services25 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
29 services29 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
27 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90025 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

DR. CASEY MURPHEY LUBNER MD
Dermatology
11645 WILSHIRE BLVD STE 900
LOS ANGELES, CA 90025
Los Angeles County (424) 243-7668
MR. STEPHEN ALEXANDER BACCARI NP
Dermatology
11645 WILSHIRE BLVD STE 900
LOS ANGELES, CA 90025
Los Angeles County (310) 274-4401
MS. JINLI WU PA-C
Physician Assistant (Medical)
11645 WILSHIRE BLVD STE 900
LOS ANGELES, CA 90025
Los Angeles County (424) 243-7668

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Park's NPI number?

The NPI number for Andrew Park is 1033678305. It was assigned to this individual provider in the NPPES registry on March 17, 2019.

Where is Andrew Park located?

Andrew Park practices at 11645 Wilshire Blvd Ste 900, Los Angeles, CA 90025. The listed phone number is (424) 243-7668.

What is Andrew Park's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Andrew Park enrolled in Medicare?

Yes. Andrew Park is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Andrew Park was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.