Dr Hyo Kyung Park, MD | |
2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 | |
(310) 829-8031 | |
(310) 829-8914 |
Full Name | Dr Hyo Kyung Park |
---|---|
Gender | Female |
Speciality | Obstetrics/gynecology |
Experience | 13 Years |
Location | 2121 Santa Monica Blvd, Santa Monica, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184910960 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 125059823 (Illinois) | Secondary |
207VX0201X | Obstetrics & Gynecology - Gynecologic Oncology | A160736 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence Saint John's Health Center | Santa monica, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Saint Johns Medical Foundation | 0840548624 | 273 |
Entity Name | Los Angeles Lgbt Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548298532 PECOS PAC ID: 8729975453 Enrollment ID: O20040227001020 |
Entity Name | First Choice Physician Partners |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104183052 PECOS PAC ID: 0941465322 Enrollment ID: O20120710000480 |
Entity Name | Providence Saint Johns Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518438712 PECOS PAC ID: 0840548624 Enrollment ID: O20180810000904 |
Mailing Address | Practice Location Address |
---|---|
Dr Hyo Kyung Park, MD 1300 N Vermont Ave, Los Angeles, CA 90027-6098 Ph: (323) 473-5499 | Dr Hyo Kyung Park, MD 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 Ph: (310) 829-8031 |
Christopher Richard Douglas, Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2001 Santa Monica Blvd Ste 380, Santa Monica, CA 90404 Phone: 310-899-7500 | |
Dr. Angela Yat-sun Nishio, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1301 20th St Ste 270, Santa Monica, CA 90404 Phone: 310-828-8585 Fax: 310-453-4844 | |
Dr. Andrea L Stein, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1301 - 20th, Suite 100, Santa Monica, CA 90404 Phone: 310-453-4600 Fax: 855-437-9295 | |
Dr. Paula Staci Josephson Shulman, MD, MPH Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1301 20th St Ste 270, Santa Monica, CA 90404 Phone: 310-828-8585 Fax: 310-453-4844 | |
Dr. Lisa Marie Valle, D.O. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1349 Franklin St, Santa Monica, CA 90404 Phone: 424-231-7116 Fax: 310-496-2762 | |
Dr. Stephen Michael Lieb, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1304 15th Street, Suite 310, Santa Monica, CA 90404 Phone: 310-899-9799 Fax: 310-899-9789 | |
Charles Frederick Dubin, Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1304 15th Street, #310, Santa Monica, CA 90404 Phone: 310-899-9799 Fax: 310-899-9789 |