ELIZABETH YOOKYUNG PARK MD
NPI 1952160186
Student in an Organized Health Care Education/Training Program in Las Vegas, NV

Q: What is Elizabeth Park's NPI number?

The NPI number for Elizabeth Park is 1952160186. It was assigned to this individual provider in the NPPES registry on March 18, 2024.

Q: What is Elizabeth Park's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Park was last updated on May 30, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 18, 2024PECOS Enrolled

3014 W CHARLESTON BLVD STE 130, LAS VEGAS, NV 89102(702) 671-5127 Get Directions Write a Review

NPPES record last updated: May 30, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Elizabeth Yookyung Park Md NPPES

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

ELIZABETH YOOKYUNG PARK MD (NPI 1952160186) is an individual student in an organized health care education/training program in Las Vegas, Nevada and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952160186

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameELIZABETH YOOKYUNG PARKCredential: MD

Location Address3014 W CHARLESTON BLVD STE 130Las Vegas, NV 89102-0083

Mailing Address3014 W Charleston Blvd Ste 130Las Vegas, NV 89102-0083

Phone(702) 671-5127

Sole ProprietorNo

Enumeration DateMarch 18, 2024

Last NPPES UpdateMay 30, 2026

NPPES CertifiedMay 30, 2026

✔ NPI 1952160186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License LL4239 (NV)

3014 W CHARLESTON BLVD STE 130, Las Vegas, NV 89102

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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)

Elizabeth Yookyung 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.

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.

EDEN SANTIAGO LEE M.D.

Psychiatry & Neurology (Psychiatry)