Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Peter H Park MD Inc

Organization Specialist · NPI 1942447701

Peter H Park MD Inc provides Specialist services in Los Angeles, California. Licensed in California. Registered with an NPI since 2009.

Licensed in
CA
In the registry since
2009
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3456 W Olympic Blvd 101
Los Angeles, CA 90019-2124
Phone: (213) 386-3450
Fax: (213) 386-3457
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence G67513 (CA)

Record details

NPI number1942447701
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peter Park — President · (213) 739-9936
NPI enumeratedJanuary 15, 2009
Last updated in NPPESDecember 13, 2022
Certification dateDecember 13, 2022
Mailing address3456 W. Olympic Blvd., 101, Los Angeles, CA 90019-2124

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