Esther Souyon Park, MD in Los Angeles, CA

Esther Souyon Park, MD is a medicare enrolled "Pediatrics" physician in Los Angeles, California. Her current practice location is 11845 W Olympic Blvd Ste 900w, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (424) 272-7502.

Esther Souyon Park is licensed to practice in California (license number 143191) 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 1932441425.

Contact Information

	Esther Souyon Park, MD
	11845 W Olympic Blvd Ste 900w, Los Angeles, CA 90064-5086
	(424) 272-7502
	Not Available

Map and Direction

Physician's Profile

Full Name	Esther Souyon Park
Gender	Female
Speciality	Pediatrics
Location	11845 W Olympic Blvd Ste 900w, 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: 1932441425
Provider Enumeration Date: 03/22/2013
Last Update Date: 10/27/2023

Medicare PECOS Information:

PECOS PAC ID: 4587891668
Enrollment ID: I20190227002779

Medical Identifiers

Medical identifiers for Esther Souyon Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932441425	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	143191 (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. Esther Souyon Park allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

Entity Name	Healthcare Partners Affiliates Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659312593 PECOS PAC ID: 7315842002 Enrollment ID: O20031204001258

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. Esther Souyon 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
Esther Souyon Park, MD 690 Veteran Ave Apt 215, Los Angeles, CA 90024-1935 Ph: (443) 480-7255	Esther Souyon Park, MD 11845 W Olympic Blvd Ste 900w, Los Angeles, CA 90064-5086 Ph: (424) 272-7502

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

Esther Souyon Park, MD - Medicare Pediatrics in Los Angeles, CA