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CHRISTINA JIEUN PARK MD
NPI 1336776772
Pediatrics in Los Angeles, CA

Active since March 25, 2020PECOS Enrolled
200 UCLA MEDICAL PLZ, LOS ANGELES, CA 90095(310) 825-0867 Get Directions Write a Review

NPPES record last updated: July 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 18, 2023, Mar 25, 2020 (2 updates tracked since 2020).

About Christina Jieun Park Md NPPES

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

CHRISTINA JIEUN PARK MD (NPI 1336776772) is an individual pediatrics provider in Los Angeles, California, licensed in California (A186711) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336776772
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameCHRISTINA JIEUN PARKCredential: MD
Location Address200 UCLA MEDICAL PLZLos Angeles, CA 90095-7419
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Phone(310) 825-0867
Sole ProprietorNo
Enumeration DateMarch 25, 2020
Last NPPES UpdateJuly 18, 20232 updates tracked since enumeration
NPPES CertifiedJuly 18, 2023
✔ NPI 1336776772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A186711
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
200 UCLA MEDICAL PLZ, Los Angeles, CA 90095
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Christina Jieun Park Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90095 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
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
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 20

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

HECTOR G GOMEZ MD
Student in an Organized Health Care Education/Training Program
200 UCLA MEDICAL PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 206-6688
DR. BRUCE A BROWN M.D.
Orthopaedic Surgery
200 UCLA MEDICAL PLZ, STE 140
LOS ANGELES, CA 90095
Los Angeles County (310) 319-4418
CHRISTIAAN SCHIEPERS MD
Nuclear Medicine
200 UCLA MEDICAL PLZ, SUITE B114
LOS ANGELES, CA 90095
Los Angeles County (310) 983-1439
MISS SYLVIA PATRICIA VILLASENOR MSW
Social Worker (Clinical)
200 UCLA MEDICAL PLZ, SUITE 265-121
LOS ANGELES, CA 90095
Los Angeles County (310) 825-4470
DR. JOHN KYUNG LEE M.D.
Internal Medicine (Hematology & Oncology)
200 UCLA MEDICAL PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 794-7700
DR. CHIA SOO MD
Surgery (Plastic and Reconstructive Surgery)
200 UCLA MEDICAL PLZ, SUITE 465
LOS ANGELES, CA 90095
Los Angeles County (310) 206-8499
PAUL CAMILLE TUMEH M.D.
Dermatology
200 UCLA MEDICAL PLZ, SUITE 450
LOS ANGELES, CA 90095
Los Angeles County (310) 825-6911
DR. GEORGE ALLAN EMERSON M.D.
Pediatrics (Neonatal-Perinatal Medicine)
200 UCLA MEDICAL PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 825-0867

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 Christina Park's NPI number?

The NPI number for Christina Park is 1336776772. It was assigned to this individual provider in the NPPES registry on March 25, 2020.

Where is Christina Park located?

Christina Park practices at 200 Ucla Medical Plz, Los Angeles, CA 90095. The listed phone number is (310) 825-0867.

What is Christina Park's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Christina Park enrolled in Medicare?

Yes. Christina Park is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Christina Park was last updated on July 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.