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MICHELLE SOOKWON PARK MD
NPI 1922156959
Internal Medicine in Panorama City, CA

Active since January 08, 2007PECOS Enrolled
13652 CANTARA ST, PANORAMA CITY, CA 91402(818) 375-2000 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michelle Sookwon Park Md NPPES

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

MICHELLE SOOKWON PARK MD (NPI 1922156959) is an individual internal medicine provider in Panorama City, California, licensed in California (A79285) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922156959
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMICHELLE SOOKWON PARKCredential: MD
Location Address13652 CANTARA STPanorama City, CA 91402-5423
Mailing Address393 E Walnut St, 3rd Floor Phr SystemsPasadena, CA 91188-0001 · (000) 000-0000 · Fax (000) 000-0000
Phone(818) 375-2000
Sole ProprietorNo
Enumeration DateJanuary 8, 2007
Last NPPES UpdateDecember 22, 2021
NPPES CertifiedDecember 22, 2021
✔ NPI 1922156959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A79285
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
13652 CANTARA ST, Panorama City, CA 91402
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle Sookwon 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 91402 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
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. JULIE KAYU HUANG PHARM.D.
Pharmacist
13652 CANTARA ST, INPATIENT PHARMACY
PANORAMA CITY, CA 91402
Los Angeles County (818) 375-2443
GLORIA S TONGSON NP
Nurse Practitioner
13652 CANTARA ST
PANORAMA CITY, CA 91402
Los Angeles County (818) 375-2000
DOUGLAS L. CALDWELL MD
Psychiatry & Neurology (Psychiatry)
13652 CANTARA ST
PANORAMA CITY, CA 91402
Los Angeles County (818) 375-2000
SILVIA N. COMPEAN MD
Internal Medicine
13652 CANTARA ST
PANORAMA CITY, CA 91402
Los Angeles County (818) 375-2000
LILIA V LORD RD
Dietitian, Registered
13652 CANTARA ST, PANORAMA CITY
PANORAMA CITY, CA 91402
Los Angeles County (818) 375-3484
ELAINA NGO
Pharmacist
13652 CANTARA ST
PANORAMA CITY, CA 91402
Los Angeles County (818) 375-4217
TINA J WOOLFORK NP
Nurse Practitioner
13652 CANTARA ST
PANORAMA CITY, CA 91402
Los Angeles County (818) 375-2000
ANGELINE LI PING ONG SU MD
Family Medicine
13652 CANTARA ST
PANORAMA CITY, CA 91402
Los Angeles County (818) 375-2000

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 Michelle Park's NPI number?

The NPI number for Michelle Park is 1922156959. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Michelle Park located?

Michelle Park practices at 13652 Cantara St, Panorama City, CA 91402. The listed phone number is (818) 375-2000.

What is Michelle Park's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Michelle Park enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Michelle Park was last updated on December 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.