1. Home
  2. Directory
  3. California
  4. Harbor City
  5. Orthopaedic Surgery
  6. NPI Profile

DR. BRIAN KYU-HONG PARK M.D.
NPI 1477871655
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Harbor City, CA

Active since May 12, 2010PECOS EnrolledAccepts Medicare Assignment
25821 VERMONT AVE, HARBOR CITY, CA 90710(424) 251-7100 Get Directions Write a Review

NPPES record last updated: November 17, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 17, 2021, Sep 14, 2016 (2 updates tracked since 2016).

About Dr. Brian Kyu-hong Park M.d. NPPES

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

DR. BRIAN KYU-HONG PARK M.D. (NPI 1477871655) is an individual adult reconstructive orthopaedic surgery provider in Harbor City, California, licensed in California (A141524) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (2010).

NPPES Registry Identity

NPI1477871655
Entity TypeIndividualMale
Primary Taxonomy207XS0114X
Provider Legal NameDR. BRIAN KYU-HONG PARKCredential: M.D.
Location Address25821 VERMONT AVEHarbor City, CA 90710-3518
Mailing Address25821 Vermont AveHarbor City, CA 90710-3518 · (424) 251-7100
Phone(424) 251-7100
Sole ProprietorYes
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2010
Enumeration DateMay 12, 2010
Last NPPES UpdateNovember 17, 20212 updates tracked since enumeration
NPPES CertifiedNovember 17, 2021
✔ NPI 1477871655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0114X
License✔ Licensed in CA · A141524
Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

25821 VERMONT AVE, Harbor City, CA 90710
Open in Google Maps ↗

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

Dr. Brian Kyu-hong Park M.d. 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 ID6507177300
PECOS Enrollment IDI20161012001766
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 19

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

DR. RICARDO JOSEPH HERRERA PT, DPT, FAAOMPT
Physical Therapist
25821 VERMONT AVE
HARBOR CITY, CA 90710
Los Angeles County (951) 378-1599
STACY ITOW
Pharmacist
25821 VERMONT AVE
HARBOR CITY, CA 90710
Los Angeles County (424) 251-7120
ANDY TRAN
Pharmacist
25821 VERMONT AVE
HARBOR CITY, CA 90710
Los Angeles County (424) 328-2521
MRS. BICH-THUY GRONER
Pharmacist
25821 VERMONT AVE
HARBOR CITY, CA 90710
Los Angeles County (424) 251-7120
CUAUHTEMOC FRIAS
Respiratory Therapist, Certified
25821 VERMONT AVE
HARBOR CITY, CA 90710
Los Angeles County (310) 571-2648
MRS. LALISA DAVIDSON RCP
Respiratory Therapist, Registered (General Care)
25821 VERMONT AVE
HARBOR CITY, CA 90710
Los Angeles County (424) 251-7184
MARIA LOUISA BANAAG QUICHO
Respiratory Therapist, Registered
25821 VERMONT AVE
HARBOR CITY, CA 90710
Los Angeles County (424) 251-7133
JASON JOSEPH WATERMAN M.D.
Internal Medicine (Sports Medicine)
25821 VERMONT AVE, COASTLINE MEDICAL OFFICE - DEPARTMENT OF ORTHOPEDICS
HARBOR CITY, CA 90710
Los Angeles County (424) 251-7371

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 Brian Park's NPI number?

The NPI number for Brian Park is 1477871655. It was assigned to this individual provider in the NPPES registry on May 12, 2010.

Where is Brian Park located?

Brian Park practices at 25821 Vermont Ave, Harbor City, CA 90710. The listed phone number is (424) 251-7100.

What is Brian Park's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Is Brian Park enrolled in Medicare?

Yes. Brian 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 Brian Park was last updated on November 17, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.