ELLEN JIWON PARK MD
NPI 1801057732
Anesthesiology in Los Angeles, CA
About Ellen Jiwon Park Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELLEN JIWON PARK MD (NPI 1801057732) is an individual anesthesiology provider in Los Angeles, California, licensed in California (A110668) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ellen Jiwon Park Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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 90033
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
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 Ellen Park's NPI number?
The NPI number for Ellen Park is 1801057732. It was assigned to this individual provider in the NPPES registry on June 23, 2008.
Where is Ellen Park located?
Ellen Park practices at 1500 San Pablo St 4th Floor Anes, Los Angeles, CA 90033. The listed phone number is (323) 442-7400.
What is Ellen Park's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Ellen Park enrolled in Medicare?
Yes. Ellen Park is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Ellen Park was last updated on November 7, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.