CHAN YOUNG PARK MD
NPI 1366071045
Psychiatry & Neurology - Psychiatry in Los Angeles, CA
About Chan Young Park Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHAN YOUNG PARK MD (NPI 1366071045) is an individual psychiatry provider in Los Angeles, California, licensed in California (A189210) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (2024).
NPPES Registry Identity
Specialties & Licenses
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
Chan Young 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90073 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LOS ANGELES, CA 90073
LOS ANGELES, CA 90073
LOS ANGELES, CA 90073
LOS ANGELES, CA 90073
LOS ANGELES, CA 90073
LOS ANGELES, CA 90073
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 Chan Park's NPI number?
The NPI number for Chan Park is 1366071045. It was assigned to this individual provider in the NPPES registry on April 5, 2020.
Where is Chan Park located?
Chan Park practices at 11301 Wilshire Blvd Bldg 500, Los Angeles, CA 90073. The listed phone number is (818) 307-0280.
What is Chan Park's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Chan Park enrolled in Medicare?
Yes. Chan 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 Chan Park was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Chan Young Park, MD · NPI 1366071045
Psychiatry physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since April 5, 2020.
## Identity
- **NPI:** 1366071045 (Entity type: Individual)
- **Enumerated:** April 5, 2020
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** A189210 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 11301 WILSHIRE BLVD BLDG 500, Los Angeles, CA 90073-1003
- **Phone:** (818) 307-0280
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of California, Geffen School Of Medicine, class of 2024
## Record status
- **NPPES last updated:** January 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1366071045) · Data from the CMS NPPES public registry.