MAXWELL CHOONG WON PARK MD
NPI 1316095102
Neuromusculoskeletal Medicine & OMM in Woodland Hills, CA

Active since January 08, 2007PECOS EnrolledAccepts Medicare Assignment
5601 DE SOTO AVE, WOODLAND HILLS, CA 91367(818) 719-2000 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Maxwell Choong Won Park Md NPPES

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

MAXWELL CHOONG WON PARK MD (NPI 1316095102) is an individual neuromusculoskeletal medicine & omm provider in Woodland Hills, California, licensed in California (A86589) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Columbia University College Of Physicians And Surgeons (1999).

NPPES Registry Identity

NPI1316095102
Entity TypeIndividualMale
Primary Taxonomy204D00000X
Provider Legal NameMAXWELL CHOONG WON PARKCredential: MD
Location Address5601 DE SOTO AVEWoodland Hills, CA 91367-6701
Mailing Address5601 De Soto AveWoodland Hills, CA 91367-6701 · (818) 719-2000
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 1999
Enumeration DateJanuary 8, 2007
Last NPPES UpdateDecember 1, 2021
NPI 1316095102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeuromusculoskeletal Medicine & OMMAllopathic & Osteopathic Physicians
Taxonomy Code204D00000X
License Licensed in CA · A86589
Definition

The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.

5601 DE SOTO AVE, Woodland Hills, CA 91367

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

Maxwell Choong Won 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 ID8729052782
PECOS Enrollment IDI20040824001480
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.

Physical Therapist (Orthopedic)
5601 DE SOTO AVE, PHYSICAL THERAPY DEPARTMENT
WOODLAND HILLS, CA 91367
Technician, Other
5601 DE SOTO AVE
WOODLAND HILLS, CA 91367
Anesthesiology
5601 DE SOTO AVE, DEPT OF ANESTHESIA
WOODLAND HILLS, CA 91367
Nurse Anesthetist, Certified Registered
5601 DE SOTO AVE
WOODLAND HILLS, CA 91367
Advanced Practice Midwife
5601 DE SOTO AVE
WOODLAND HILLS, CA 91367
Surgery (Surgical Oncology)
5601 DE SOTO AVE
WOODLAND HILLS, CA 91367
Pediatrics (Pediatric Infectious Diseases)
5601 DE SOTO AVE
WOODLAND HILLS, CA 91367
Physician Assistant
5601 DE SOTO AVE
WOODLAND HILLS, CA 91367

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 Maxwell Park's NPI number?

The NPI number for Maxwell Park is 1316095102. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Maxwell Park located?

Maxwell Park practices at 5601 De Soto Ave, Woodland Hills, CA 91367. The listed phone number is (818) 719-2000.

What is Maxwell Park's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.

Is Maxwell Park enrolled in Medicare?

Yes. Maxwell 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 Maxwell Park was last updated on December 1, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.