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EVELYN SINYOUNG PARK MD
NPI 1104629773
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since March 31, 2025
1100 GLENDON AVENUE, SUITE 1200, BOX 951744, LOS ANGELES, CA 90024(310) 794-0785 Get Directions Write a Review

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

About Evelyn Sinyoung Park Md NPPES

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

EVELYN SINYOUNG PARK MD (NPI 1104629773) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1104629773
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameEVELYN SINYOUNG PARKCredential: MD
Location Address1100 GLENDON AVENUE, SUITE 1200, BOX 951744Los Angeles, CA 90024
Mailing Address1100 Glendon Avenue, Suite 1200, Box 951744Los Angeles, CA 90024 · (310) 794-0785
Phone(310) 794-0785
Sole ProprietorNo
Enumeration DateMarch 31, 2025
NPPES CertifiedMarch 30, 2025
✔ NPI 1104629773 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.
1100 GLENDON AVENUE, SUITE 1200, Los Angeles, CA 90024
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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 Evelyn Park's NPI number?

The NPI number for Evelyn Park is 1104629773. It was assigned to this individual provider in the NPPES registry on March 31, 2025.

Where is Evelyn Park located?

Evelyn Park practices at 1100 Glendon Avenue, Suite 1200 Box 951744, Los Angeles, CA 90024. The listed phone number is (310) 794-0785.

What is Evelyn 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 Evelyn 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.