Dr Brian Kyu-hong Park, MD is a medicare enrolled "Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery" physician in Harbor City, California. He went to Albert Einstein College Of Medicine Of Yeshiva University and graduated in 2010 and has 14 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Southern California Permanente Medical Group and his current practice location is
25821 Vermont Ave, Harbor City, California. You can reach out to his office (for appointments etc.) via phone at
(424) 251-7100.
Dr Brian Kyu-hong Park is licensed to practice in California (license number A141524) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1477871655.
Physician's Profile
| Full Name | Dr Brian Kyu-hong Park |
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| Gender | Male |
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| Speciality | Orthopedic Surgery |
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| Experience | 14 Years |
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| Location | 25821 Vermont Ave, Harbor City, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Brian Kyu-hong Park attended and graduated from Albert Einstein College Of Medicine Of Yeshiva University in 2010
NPI Data:
- NPI Number: 1477871655
- Provider Enumeration Date: 05/12/2010
- Last Update Date: 11/17/2021
Medicare PECOS Information:
- PECOS PAC ID: 6507177300
- Enrollment ID: I20161012001766
Medical Identifiers
Medical identifiers for Dr Brian Kyu-hong Park such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1477871655 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207XS0114X | Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery | A141524 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Southern California Permanente Medical Group | 6002729175 | 8172 |
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. Dr Brian Kyu-hong Park allows following entities to bill medicare on his behalf.
| Entity Name | Southern California Permanente Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678 |
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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. Dr Brian Kyu-hong 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 |
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Dr Brian Kyu-hong Park, MD
25821 Vermont Ave,
Harbor City, CA 90710-3518
Ph: (424) 251-7100 | Dr Brian Kyu-hong Park, MD
25821 Vermont Ave,
Harbor City, CA 90710-3518
Ph: (424) 251-7100 |
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