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ESTHER SOUYON PARK M.D.
NPI 1932441425
Pediatrics in Los Angeles, CA

Active since March 22, 2013PECOS Enrolled
11845 W OLYMPIC BLVD STE 900W, LOS ANGELES, CA 90064(424) 272-7502 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 27, 2023, Mar 24, 2019 (2 updates tracked since 2019).

About Esther Souyon Park M.d. NPPES

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

ESTHER SOUYON PARK M.D. (NPI 1932441425) is an individual pediatrics provider in Los Angeles, California, licensed in California (143191) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932441425
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameESTHER SOUYON PARKCredential: M.D.
Location Address11845 W OLYMPIC BLVD STE 900WLos Angeles, CA 90064-5086
Mailing Address690 Veteran Ave Apt 215Los Angeles, CA 90024-1935 · (443) 480-7255
Phone(424) 272-7502
Sole ProprietorNo
Enumeration DateMarch 22, 2013
Last NPPES UpdateOctober 27, 20232 updates tracked since enumeration
✔ NPI 1932441425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · 143191
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.

11845 W OLYMPIC BLVD STE 900W, Los Angeles, CA 90064
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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)

Esther Souyon Park M.d. 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 90064 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 2

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

FENDEE MADAYAG ANSELMO
Registered Nurse (General Practice)
11845 W OLYMPIC BLVD STE 900W
LOS ANGELES, CA 90064
Los Angeles County (213) 296-3783
ROBERT K KAKEHASHI M.D.
Internal Medicine
11845 W OLYMPIC BLVD STE 900W
LOS ANGELES, CA 90064
Los Angeles County (844) 644-4325

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 Esther Park's NPI number?

The NPI number for Esther Park is 1932441425. It was assigned to this individual provider in the NPPES registry on March 22, 2013.

Where is Esther Park located?

Esther Park practices at 11845 W Olympic Blvd Ste 900W, Los Angeles, CA 90064. The listed phone number is (424) 272-7502.

What is Esther Park's specialty?

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

Is Esther Park enrolled in Medicare?

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

When was this NPI record last updated?

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