Individual provider · Type 1 NPI

Gyoung J. Park, MD

Specialist · Los Angeles, CA

NPI number 1871532309 Active

Practice location

4620 Beverly Blvd 2nd Fl
Los Angeles, CA 90004-3102

Fax (213) 748-7003

Mailing address

4620 Beverly Blvd Fl 2
Los Angeles, CA 90004-3102

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1871532309

Gyoung J. Park, MD's National Provider Identifier is 1871532309, issued on Jun 6, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 13, 2026.