DANIEL DONGSU PARK
NPI 1124698733
Nurse Practitioner - Family in Los Angeles, CA

Active since June 26, 2021
2727 W OLYMPIC BLVD STE 208, LOS ANGELES, CA 90006(213) 908-6434 Get Directions Write a Review

NPPES record last updated: January 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 9, 2026, Jun 26, 2021 (2 updates tracked since 2021).

About Daniel Dongsu Park NPPES

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

DANIEL DONGSU PARK (NPI 1124698733) is an individual family provider in Los Angeles, California, licensed in California (95036343) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1124698733
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDANIEL DONGSU PARK
Location Address2727 W OLYMPIC BLVD STE 208Los Angeles, CA 90006-2640
Mailing Address2727 W Olympic Blvd Ste 208Los Angeles, CA 90006-2640
Sole ProprietorYes
Enumeration DateJune 26, 2021
Last NPPES UpdateJanuary 9, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2026
NPI 1124698733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 95036343
2727 W OLYMPIC BLVD STE 208, Los Angeles, CA 90006

Other Names 1

Former Name (1)Dong Su Park

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner (Family)
2727 W OLYMPIC BLVD STE 208
LOS ANGELES, CA 90006
Internal Medicine (Cardiovascular Disease)
2727 W OLYMPIC BLVD STE 208
LOS ANGELES, CA 90006
Internal Medicine (Cardiovascular Disease)
2727 W OLYMPIC BLVD STE 208
LOS ANGELES, CA 90006
Nurse Practitioner (Family)
2727 W OLYMPIC BLVD STE 208
LOS ANGELES, CA 90006
Acupuncturist
2727 W OLYMPIC BLVD STE 208
LOS ANGELES, CA 90006

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 Daniel Park's NPI number?

The NPI number for Daniel Park is 1124698733. It was assigned to this individual provider in the NPPES registry on June 26, 2021. The provider is also known as Dong Su Park.

Where is Daniel Park located?

Daniel Park practices at 2727 W Olympic Blvd Ste 208, Los Angeles, CA 90006. The listed phone number is (213) 908-6434.

What is Daniel Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Daniel Park was last updated on January 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.