Sangdo Park, MD | |
2105 Beverly Blvd, Suite 223, Los Angeles, CA 90057-2216 | |
(213) 989-0644 | |
Not Available |
Full Name | Sangdo Park |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 20 Years |
Location | 2105 Beverly Blvd, Los Angeles, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164582656 | NPI | - | NPPES |
8W9051 | Other | TX | BCBS |
8CR159 | Other | TX | BC/BS TX - EFFECT. 02/01/2011 |
P00935331 | Other | TX | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XX0005X | Orthopaedic Surgery - Sports Medicine | N6562 (Texas) | Secondary |
207XX0005X | Orthopaedic Surgery - Sports Medicine | A107642 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Hollywood Presbyterian Medical Center | Los angeles, CA | Hospital |
Entity Name | Sangdo Park, M.d., A Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346590098 PECOS PAC ID: 8921258625 Enrollment ID: O20121015000362 |
Mailing Address | Practice Location Address |
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Sangdo Park, MD 2105 Beverly Blvd, Suite 223, Los Angeles, CA 90057-2216 Ph: (213) 989-0644 | Sangdo Park, MD 2105 Beverly Blvd, Suite 223, Los Angeles, CA 90057-2216 Ph: (213) 989-0644 |
Dr. Lucille Chaille, Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1200 N State St, Los Angeles, CA 90033 Phone: 323-226-2170 Fax: 323-226-5760 | |
Erin Meisel, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1200 N State St, Gnh 3900, Los Angeles, CA 90033 Phone: 323-226-7210 | |
Micah Paul Adamson, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Ucla Medical Plz Ste 755, Los Angeles, CA 90024 Phone: 310-319-1234 | |
Michael Thomas Fry, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 757 Westwood Plz, Los Angeles, CA 90095 Phone: 310-825-9111 | |
Dr. Steven Lawrence Zeitzew, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 8113 1/2 Melrose Ave, Los Angeles, CA 90046 Phone: 323-852-1259 Fax: 323-852-1259 | |
Dr. William T Long, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1300 N Vermont Ave Ste 100, Los Angeles, CA 90027 Phone: 323-913-4300 | |
Kathleen Rose Savage, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1700 E Cesar E Chavez Ave, Suite 2200, Los Angeles, CA 90033 Phone: 323-264-7600 Fax: 323-261-8027 |