Chan Ho Park
Physician Assistant

Address: 4721 Oakwood Ave, Los Angeles, CA 90004-3112
Phone: 2066607988

Chan Ho Park (NPI# 1144828963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1144828963
Entity Type Individual
Full Name Chan Ho Park
Credential PA-C
Gender Male
Practice Address 4721 Oakwood Ave
Los Angeles
CA 90004-3112
Practice Telephone 2066607988
Mailing Address 4721 Oakwood Ave
Los Angeles
CA 90004-3112
Mailing Telephone 2066607988
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2020-10-14
Last Update Date 2020-10-14

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Providers with the same name

NPI Name Taxonomy Address Enumeration
1508404492 Chan Jin Park Acupuncturist 21537 48th Ave Apt 2b, Bayside, NY 11364-1359 2019-12-11
1700147378 Chan H Park Internal Medicine 22226 Cliff Ave S, #304, Des Moines, WA 98198-4619 2012-05-30
1760644280 Chan Woo Park Otolaryngology 90 Bergen Street- Suite 8100, Department of Otolaryngology, Doc Building, Newark, NJ 07103 2008-06-26
1700092103 Chan Hoon Park Family Medicine 905 Victory Hwy, Slatersville, RI 02876 2007-05-15
1871617027 Chan M Park Dentist 111 Deerwood Rd Ste 130, San Ramon, CA 94583-2194 2007-03-16
1457467037 Chan M Park Family Medicine 6460 Greensboro Rd, Ridgeway, VA 24148-3478 2006-08-23
1619940681 Chan S. Park Emergency Medicine Michumi, Pllc Dba Med Express of Williamsburg, Va, 120 Monticello Ave, Williamsburg, VA 23185 2006-02-09
1255336665 Chan H. Park Family Medicine 9500 Stockdale Hwy, Suite 203, Bakersfield, CA 93311-3620 2005-06-14
1366071045 Chan Young Park Student in an Organized Health Care Education/Training Program 11301 Wilshire Blvd Bldg 500, Los Angeles, CA 90073-1003 2020-04-05
1932498722 Chan Jerome Park Thoracic Surgery (Cardiothoracic Vascular Surgery) 600 Highland Ave, Madison, WI 53792-0001 2011-03-31
Find all providers with the same name

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154929644 Tatum Little Physician Assistant 3307 W 79th St, Los Angeles, CA 90043-5249 2020-10-15
1235737172 Jennifer Rae Levitt Physician Assistant, Inc Physician Assistant 1439 N Highland Ave Ste 1059, Los Angeles, CA 90028-7622 2020-10-13
1174120943 Melody Fatehi Physician Assistant 6228 Orange St Apt 9, Los Angeles, CA 90048-4836 2020-10-05
1467063826 Hannah Shannon Rihani Physician Assistant 1737 Midvale Ave, Los Angeles, CA 90024-5512 2020-08-11
1356969901 Emily Rachel Lavi Physician Assistant 1132 S Holt Ave Apt 7, Los Angeles, CA 90035-2424 2020-07-09
1083242952 Julia Andrea Hurtado Physician Assistant 3783 Cimarron St, Los Angeles, CA 90018-4463 2020-03-27
1174150130 Susan C. Williams Physician Assistant 2215 Alcazar St, Los Angeles, CA 90033-1003 2020-03-26
1720615776 Shannon Hakakeyan Physician Assistant 1580 Manning Ave Apt 303, Los Angeles, CA 90024-6086 2020-03-26
1952938243 Jayanti Sharma Physician Assistant 1515 Amherst Ave Apt 303, Los Angeles, CA 90025-3677 2020-03-25
1669008058 Michelle Ji Hye Chang Physician Assistant 360 W Avenue 26 Apt 423, Los Angeles, CA 90031-1490 2020-03-17
Find all providers in LOS ANGELES

Office Location

Street Address 4721 OAKWOOD AVE
State CA
Zip Code 90004-3112

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225504160 Jessica M. Louie Pharmacist 590 North Vermont Avenue, Suite 334, Los Angeles, CA 90004 2018-10-18
1033615828 Javier G Ibarra Counselor 3910 Oakwood Ave., Los Angeles, CA 90004 2018-04-02
1558804351 Bhc Alhamba Hospital Psychiatric Residential Treatment Facility 115 N. Mccadden Place, Los Angeles, CA 90004 2016-11-28
1275907719 Rozalin Banafsheian Psychologist 522 N. Larchmont, Los Angeles, CA 90004 2015-11-20
1104214196 Estrellita Rubio Reyes Pediatrics 3908 Beverly Blvd., Los Angeles, CA 90004 2014-12-30
1760888226 Hardy Ophuls Marriage & Family Therapist 439 N. Larchmont Bl., Los Angeles, CA 90004 2014-11-11
1528462991 Latrice Nicole Hardison Licensed Vocational Nurse 225 N. Mariposa Ave, Los Angeles, CA 90004 2014-10-14
1215331947 Shonn Bunn Rehabilitation Practitioner 433 N. Hoover, Los Angeles, CA 90004 2014-10-09
1609296581 Michael Armen Kezian Dentist 581 N Larchmont Blvd, Los Angeles, CA 90004 2014-04-18
1427485549 Kir Medical Group Family Medicine 123 177th Street, Los Angeles, CA 90004 2013-10-03
Find all providers in zip 90004


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Zip Code 90004

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.