Peter Yongsung Park, MSW is a
Rehabilitation Practitioner based in Los Angeles, California. Peter Yongsung Park is licensed to practice in * (Not Available) (license number ) and his current practice location is
1665 W Adams Blvd, Los Angeles, California. He can be reached at his office (for appointments etc.) via phone at
(909) 348-2035.
NPI number for Peter Yongsung Park is 1265788616 and his current mailing address is 1665 W Adams Blvd, Los Angeles, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1265788616.
Healthcare Provider's Profile
Full Name | Peter Yongsung Park |
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Gender | Male |
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Speciality | Rehabilitation Practitioner |
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Location | 1665 W Adams Blvd, Los Angeles, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1265788616
- Provider Enumeration Date: 08/02/2012
- Last Update Date: 06/20/2017
Medical Identifiers
Medical identifiers for Peter Yongsung Park such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265788616 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
225400000X | Rehabilitation Practitioner | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Peter Yongsung Park is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Peter Yongsung Park, MSW 1665 W Adams Blvd, Los Angeles, CA 90007-1533 Ph: (909) 348-2030 | Peter Yongsung Park, MSW 1665 W Adams Blvd, Los Angeles, CA 90007-1533 Ph: (909) 348-2035 |
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