Dr William Il Park, MD is a
Surgery physician based in Bell Canyon, California. Dr William Il Park is licensed to practice in California (license number 51513) and his current practice location is 11 Buckskin Rd, Bell Canyon, California. He can be reached at his office (for appointments etc.) via phone at
(808) 895-1018.
NPI number for Dr William Il Park is 1164470829 and his current mailing address is 11 Buckskin Rd, Bell Canyon, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164470829.
Physician's Profile
| Full Name | Dr William Il Park |
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| Gender | Male |
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| Speciality | Surgery |
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| Location | 11 Buckskin Rd, Bell Canyon, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1164470829
- Provider Enumeration Date: 05/05/2006
- Last Update Date: 06/14/2022
Medical Identifiers
Medical identifiers for Dr William Il Park such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164470829 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 51513 (California) | Primary |
| 208600000X | Surgery | 13391 (Hawaii) | Secondary |
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 William Il 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 |
|---|
Dr William Il Park, MD
11 Buckskin Rd,
Bell Canyon, CA 91307-1121
Ph: (808) 895-1018 | Dr William Il Park, MD
11 Buckskin Rd,
Bell Canyon, CA 91307-1121
Ph: (808) 895-1018 |
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