Christina Jieun Park, MD in Los Angeles, CA

Christina Jieun Park, MD is a medicare enrolled "Pediatrics" physician in Los Angeles, California. Her current practice location is 200 Ucla Medical Plz, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (310) 825-0867.

Christina Jieun Park is licensed to practice in California (license number A186711) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1336776772.

Contact Information

	Christina Jieun Park, MD
	200 Ucla Medical Plz, Los Angeles, CA 90095-7419
	(310) 825-0867
	Not Available

Map and Direction

Physician's Profile

Full Name	Christina Jieun Park
Gender	Female
Speciality	Pediatrics
Location	200 Ucla Medical Plz, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336776772
Provider Enumeration Date: 03/25/2020
Last Update Date: 07/18/2023

Medicare PECOS Information:

PECOS PAC ID: 8527426907
Enrollment ID: I20230615003677

Medical Identifiers

Medical identifiers for Christina Jieun Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336776772	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A186711 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Christina Jieun Park allows following entities to bill medicare on her behalf.

Entity Name	Uc Regents
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982667663 PECOS PAC ID: 4587568829 Enrollment ID: O20031119001005

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. Christina Jieun Park is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Christina Jieun Park, MD 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: () -	Christina Jieun Park, MD 200 Ucla Medical Plz, Los Angeles, CA 90095-7419 Ph: (310) 825-0867

Reviews and Comments

Pediatrics Doctors in Los Angeles, CA

Dr. Mark Hendrik Corden, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4650 W Sunset Blvd, Los Angeles, CA 90027 Phone: 323-361-8893 Fax: 323-361-1814
Ms. Roberta Miyeko Kato, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4650 W Sunset Blvd, Los Angeles, CA 90027 Phone: 323-361-2101 Fax: 323-361-1355
Meera Dhirubhai Kanani, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1240 N Mission Rd, Los Angeles, CA 90033 Phone: 323-226-3691
Dr. Marisa Danbee Oh, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 2020 Zonal Ave, Lac-usc Med Ctr- Interns/residents Building, Room 112, Los Angeles, CA 90089 Phone: 626-241-0704
Dr. Tiffany Prugpichailers Pedigo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 757 Westwood Plz, B711 Rrumc, Los Angeles, CA 90095 Phone: 310-267-9129
Neema Izadi, MD, MS Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4650 W Sunset Blvd # 75, Los Angeles, CA 90027 Phone: 323-361-2501 Fax: 323-361-1191
Jennifer Stephanie Menjivar-lopez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3671 W 6th St Ste A, Los Angeles, CA 90020 Phone: 213-235-2500

Christina Jieun Park, MD - Medicare Pediatrics in Los Angeles, CA