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Export Provider Record NPI 1083670152
Paul W. ParkM.D.
Active
NPI Number1083670152
NPI TypeNPI-1 Individual
SpecialtyOphthalmology
Provider Details
NPI1083670152
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2006-04-26
Last Updated2024-03-02
Mailing Address2 Columbus Ave Apt 23b
New York, NY 10023-6921
United States
Phone: (713) 385-0618
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Primary Practice Address3055 Wilshire Blvd Ste 100
Los Angeles, CA 90010-1119
United States
Phone: (213) 484-1000
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Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No207WX0009X – Ophthalmology, Glaucoma SpecialistNY313820-01
No207WX0009X – Ophthalmology, Glaucoma SpecialistNJ25MA11319300
Yes207W00000X – OphthalmologyCAA91067
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About NPI 1083670152

Paul W. Park M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1083670152. The primary specialty listed is Ophthalmology. The provider is located in Los Angeles, CA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-04-26. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1083670152?

NPI 1083670152 belongs to Paul W. Park M.D., a Ophthalmology in Los Angeles, CA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1083670152 active?

The current status of NPI 1083670152 in the NPPES registry is Active. The record was last updated on 2024-03-02.

What specialty is NPI 1083670152?

NPI 1083670152 is classified under the taxonomy Ophthalmology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1083670152?

You can verify NPI 1083670152 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1083670152?

The primary practice address on file for NPI 1083670152 is 3055 Wilshire Blvd Ste 100, Los Angeles, CA 90010-1119. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1083670152 issued?

NPI 1083670152 was first issued (enumerated) on 2006-04-26. The NPPES record was last updated on 2024-03-02.

Practice Location Map

Paul W. Park is located at 3055 Wilshire Blvd Ste 100, Los Angeles, CA. Use the map below to find directions or verify the practice location.

📍 3055 Wilshire Blvd Ste 100, Los Angeles, CA 90010-1119  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Paul W. Park. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1083670152. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Ophthalmology, Glaucoma Specialist313820-01NY
Ophthalmology, Glaucoma Specialist25MA11319300NJ
OphthalmologyA91067CA
Data Verified from CMS NPPES Last synced: 2026-06-21 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162