Dr Jae Paul Pak, MD | |
5757 Wilshire Blvd, Suite 2, Los Angeles, CA 90036-5810 | |
(310) 553-9113 | |
(310) 553-8626 |
Full Name | Dr Jae Paul Pak |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 5757 Wilshire Blvd, Los Angeles, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780878991 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | A96732 (California) | Primary |
Entity Name | Golden State Emergency Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770886558 PECOS PAC ID: 4981885951 Enrollment ID: O20110223001018 |
Mailing Address | Practice Location Address |
---|---|
Dr Jae Paul Pak, MD 20849 Brighton Ave, Torrance, CA 90501-2308 Ph: (949) 231-9392 | Dr Jae Paul Pak, MD 5757 Wilshire Blvd, Suite 2, Los Angeles, CA 90036-5810 Ph: (310) 553-9113 |
Dr. Kenneth Taeyoung Kim, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1100 Glendon Ave Ste 1200, Los Angeles, CA 90024 Phone: 310-794-0785 | |
Dr. Tiffany Hackett, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8700 Beverly Blvd., Los Angeles, CA 90048 Phone: 310-967-1884 Fax: 310-967-1744 | |
Brennen J. Beatty, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6041 Cadillac Ave, Los Angeles, CA 90034 Phone: 323-857-2000 | |
Matthew S. Berry, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6041 Cadillac Ave, Los Angeles, CA 90034 Phone: 323-857-2000 | |
Phillip Gruber, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1200 N State St, Los Angeles, CA 90033 Phone: 323-226-6667 | |
Daniel Weingrow, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 757 Westwood Plz, Los Angeles, CA 90095 Phone: 310-825-2111 | |
Brian Truong, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 924 Westwood Blvd, Suite 300, Los Angeles, CA 90095 Phone: 310-794-0585 |