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WONJU PARK NP
NPI 1871397778
Nurse Practitioner - Family in Los Angeles, CA

Active since April 02, 2025
505 S VIRGIL AVE STE 301, LOS ANGELES, CA 90020(213) 674-8282 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wonju Park Np NPPES

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

WONJU PARK NP (NPI 1871397778) is an individual family provider in Los Angeles, California, licensed in California (NP95029139) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1871397778
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameWONJU PARKCredential: NP
Location Address505 S VIRGIL AVE STE 301Los Angeles, CA 90020-1443
Mailing Address505 S Virgil Ave Ste 301Los Angeles, CA 90020-1443 · (213) 674-8282
Phone(213) 674-8282
Sole ProprietorNo
Enumeration DateApril 2, 2025
NPPES CertifiedApril 2, 2025
✔ NPI 1871397778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · NP95029139
505 S VIRGIL AVE STE 301, Los Angeles, CA 90020
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Other Providers at the Same Location NPPES 2

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

CHARLIE SAM NEPHROLOGY
Clinic/Center (Primary Care)
505 S VIRGIL AVE STE 301
LOS ANGELES, CA 90020
Los Angeles County (213) 674-8282
JUNGWOO KIM
Nurse Practitioner (Family)
505 S VIRGIL AVE STE 301
LOS ANGELES, CA 90020
Los Angeles County (213) 674-8282

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 Wonju Park's NPI number?

The NPI number for Wonju Park is 1871397778. It was assigned to this individual provider in the NPPES registry on April 2, 2025.

Where is Wonju Park located?

Wonju Park practices at 505 S Virgil Ave Ste 301, Los Angeles, CA 90020. The listed phone number is (213) 674-8282.

What is Wonju Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Wonju Park was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.