Mr Matthew Park, CRNA | |
2942 Sierra Crest Way, Hacienda Heights, CA 91745-6546 | |
(323) 842-6191 | |
Not Available |
Full Name | Mr Matthew Park |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 10 Years |
Location | 2942 Sierra Crest Way, Hacienda Heights, 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 |
---|---|---|---|
1760897557 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 95000181 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ronald Reagan Ucla Medical Center | Los angeles, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sky Anesthesia Inc | 8426481342 | 5 |
Regents Of The University Of California | 8527971316 | 220 |
Entity Name | Regents Of The University Of California |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326096165 PECOS PAC ID: 8527971316 Enrollment ID: O20031107000404 |
Entity Name | Martin Luther King Jr Community Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356899777 PECOS PAC ID: 8628359502 Enrollment ID: O20170109001311 |
Entity Name | Tower Anesthesia Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407370901 PECOS PAC ID: 3375815723 Enrollment ID: O20170818001842 |
Entity Name | Sky Anesthesia Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962050401 PECOS PAC ID: 8426481342 Enrollment ID: O20191207000211 |
Entity Name | Park Anesthesia A Nursing Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639703358 PECOS PAC ID: 8123441268 Enrollment ID: O20200708003003 |
Mailing Address | Practice Location Address |
---|---|
Mr Matthew Park, CRNA 2942 Sierra Crest Way, Hacienda Heights, CA 91745-6546 Ph: () - | Mr Matthew Park, CRNA 2942 Sierra Crest Way, Hacienda Heights, CA 91745-6546 Ph: (323) 842-6191 |
Freco Tsun, DNAP Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2210 Maywind Way, Hacienda Heights, CA 91745 Phone: 626-283-7978 |