DR. AGATHA L PARK M.D.
NPI 1407988165
Specialist in Beverly Hills, CA

Q: What is Agatha Park's NPI number?

The NPI number for Agatha Park is 1407988165. It was assigned to this individual provider in the NPPES registry on March 9, 2007.

Q: What is Agatha Park's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Agatha Park was last updated on March 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since March 09, 2007

245 S CRESCENT DR, BEVERLY HILLS, CA 90212(310) 550-7669(310) 247-0950 Get Directions Write a Review

NPPES record last updated: March 23, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Agatha L Park M.d. NPPES

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

DR. AGATHA L PARK M.D. (NPI 1407988165) is an individual specialist in Beverly Hills, California, licensed in California (95-4263002) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1407988165

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameDR. AGATHA L PARKCredential: M.D.

Location Address245 S CRESCENT DRBeverly Hills, CA 90212-4001

Mailing Address245 S Crescent DrBeverly Hills, CA 90212-4001 · (310) 550-7669 · Fax (310) 247-0950

Phone(310) 550-7669

Fax(310) 247-0950

Sole ProprietorYes

Enumeration DateMarch 9, 2007

Last NPPES UpdateMarch 23, 2011

✔ NPI 1407988165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · 95-4263002

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

245 S CRESCENT DR, Beverly Hills, CA 90212

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Other Identifiers 1

Medicare UPINA10818CA

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 Agatha Park's NPI number?

The NPI number for Agatha Park is 1407988165. It was assigned to this individual provider in the NPPES registry on March 9, 2007.

Where is Agatha Park located?

Agatha Park practices at 245 S Crescent Dr, Beverly Hills, CA 90212. The listed phone number is (310) 550-7669.

What is Agatha Park's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Agatha Park was last updated on March 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.