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SOPHIA ANNE PARK MD
NPI 1801425715
Pediatrics in Los Angeles, CA

Active since April 02, 2020PECOS Enrolled
4650 W SUNSET BLVD, LOS ANGELES, CA 90027(888) 499-9303 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Oct 27, 2023, Aug 10, 2023, May 23, 2023 and 1 more (4 updates tracked since 2020).

About Sophia Anne Park Md NPPES

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

SOPHIA ANNE PARK MD (NPI 1801425715) is an individual pediatrics provider in Los Angeles, California, licensed in California (A186190) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801425715
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSOPHIA ANNE PARKCredential: MD
Location Address4650 W SUNSET BLVDLos Angeles, CA 90027-6062
Mailing Address4650 W Sunset Blvd # Ms 76Los Angeles, CA 90027-6062 · (888) 499-9303
Phone(888) 499-9303
Sole ProprietorNo
Enumeration DateApril 2, 2020
Last NPPES UpdateOctober 27, 20234 updates tracked since enumeration
NPPES CertifiedAugust 10, 2023
✔ NPI 1801425715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A186190
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.
4650 W SUNSET BLVD, Los Angeles, CA 90027
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Other Names 1

Former Name (1)Seonyeong Park Md

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sophia Anne 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 90027 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.

DR. MARK HENDRIK CORDEN M.D.
Pediatrics
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 361-8893
MS. ROBERTA MIYEKO KATO MD
Pediatrics (Pediatric Pulmonology)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 361-2101
CHILDREN'S HOSPITAL LOS ANGELES
General Acute Care Hospital (Children)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 361-3644
JESSICA ELIZABETH GREIM DPT, PT
Physical Therapist (Pediatrics)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (310) 361-2118
MOLLY CEVASCO PH.D., BCBA
Psychologist (Clinical Child & Adolescent)
4650 W SUNSET BLVD, MS #53
LOS ANGELES, CA 90027
Los Angeles County (323) 361-3849
GINNY KIM THAN NP
Nurse Practitioner (Pediatrics)
4650 W SUNSET BLVD, MS #81
LOS ANGELES, CA 90027
Los Angeles County (323) 361-3033
DOUGLAS SHAPIRO MD
Pediatrics (Pediatric Emergency Medicine)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 660-2450
ALEXANDRA LYNN JOSTES MD
Student in an Organized Health Care Education/Training Program
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 361-2122

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 Sophia Park's NPI number?

The NPI number for Sophia Park is 1801425715. It was assigned to this individual provider in the NPPES registry on April 2, 2020. The provider is also known as Seonyeong Park MD.

Where is Sophia Park located?

Sophia Park practices at 4650 W Sunset Blvd, Los Angeles, CA 90027. The listed phone number is (888) 499-9303.

What is Sophia Park's specialty?

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

Is Sophia Park enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Sophia Park was last updated on October 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.