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JOHANN CHRISTIAN PARK
NPI 1043047160
Student in an Organized Health Care Education/Training Program in West Hollywood, CA

Active since September 14, 2024
8700 BEVERLY BLVD STE 5512, WEST HOLLYWOOD, CA 90048(310) 423-5161 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 31, 2025, Sep 14, 2024 (2 updates tracked since 2024).

About Johann Christian Park NPPES

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

JOHANN CHRISTIAN PARK (NPI 1043047160) is an individual student in an organized health care education/training program in West Hollywood, California and active in the NPI registry since September 2024. He maintains a secondary practice location in Elk Grove.

NPPES Registry Identity

NPI1043047160
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJOHANN CHRISTIAN PARK
Location Address8700 BEVERLY BLVD STE 5512West Hollywood, CA 90048-1804
Mailing Address8700 Beverly Blvd Ste 5512West Hollywood, CA 90048-1804 · (310) 423-5161
Phone(310) 423-5161
Sole ProprietorYes
Enumeration DateSeptember 14, 2024
Last NPPES UpdateMarch 31, 20252 updates tracked since enumeration
NPPES CertifiedMarch 31, 2025
✔ NPI 1043047160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
8700 BEVERLY BLVD STE 5512, West Hollywood, CA 90048
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Secondary Practice Location 1

Location 19700 W Taron DrElk Grove, CA 95757-8145 · Phone (916) 686-7300

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.

MATTHEW HERMOSURA BAUTISTA
Student in an Organized Health Care Education/Training Program
8700 BEVERLY BLVD STE 5512
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-5161
LILY JAMNESHAN MD
Student in an Organized Health Care Education/Training Program
8700 BEVERLY BLVD STE 5512
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-5161
DR. VAN NGO MD
Student in an Organized Health Care Education/Training Program
8700 BEVERLY BLVD STE 5512
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-5161
ALEX BENJAMIN LEVINE MD
Student in an Organized Health Care Education/Training Program
8700 BEVERLY BLVD STE 5512
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-5161
KAREN TSUNG
Student in an Organized Health Care Education/Training Program
8700 BEVERLY BLVD STE 5512
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-5161
AUSTIN GONZALEZ MD
Hospitalist
8700 BEVERLY BLVD STE 5512
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-5161
SALIM CHAMOUN
Student in an Organized Health Care Education/Training Program
8700 BEVERLY BLVD STE 5512
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-5161
JASMINE DENG
Student in an Organized Health Care Education/Training Program
8700 BEVERLY BLVD STE 5512
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-5161

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 Johann Park's NPI number?

The NPI number for Johann Park is 1043047160. It was assigned to this individual provider in the NPPES registry on September 14, 2024.

Where is Johann Park located?

Johann Park practices at 8700 Beverly Blvd Ste 5512, West Hollywood, CA 90048. The listed phone number is (310) 423-5161.

What is Johann Park's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Johann Park was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.