| Catherine Y Park, MD | |
|
1401 S Grand Ave, Emergency Department, Los Angeles, CA 90015-3010 | |
| (213) 748-2411 | |
| Not Available |
| Full Name | Catherine Y Park |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 1401 S Grand Ave, Los Angeles, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295788016 | NPI | - | NPPES |
| 00A854730 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | A85473 (California) | Primary |
| Entity Name | Mission Viejo Emergency Medical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073542916 PECOS PAC ID: 2163335241 Enrollment ID: O20031106000308 |
| Entity Name | Tarzana Emergency Medical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235176702 PECOS PAC ID: 7113823014 Enrollment ID: O20040708001387 |
| Entity Name | Emergency Services Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699725069 PECOS PAC ID: 6204720196 Enrollment ID: O20051215000870 |
| Entity Name | Mission Viejo Emergency Medical Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134355597 PECOS PAC ID: 7315090271 Enrollment ID: O20090725000046 |
| Entity Name | Grand Avenue Emergency Physicians Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962913632 PECOS PAC ID: 7315206653 Enrollment ID: O20180112002313 |
| Entity Name | Emergency Services Medical Corporation Coronado |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598395675 PECOS PAC ID: 3779904438 Enrollment ID: O20200604001390 |
| Mailing Address | Practice Location Address |
|---|---|
| Catherine Y Park, MD Po Box 661748, Arcadia, CA 91066-1748 Ph: (626) 447-0296 | Catherine Y Park, MD 1401 S Grand Ave, Emergency Department, Los Angeles, CA 90015-3010 Ph: (213) 748-2411 |
Dr. Kenneth Taeyoung Kim, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1100 Glendon Ave Ste 1200, Los Angeles, CA 90024 Phone: 310-794-0785 | |
Dr. Sean Emerson Treacy, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 757 Westwood Plz Ste 1517, Los Angeles, CA 90095 Phone: 310-825-2111 | |
Dr. Tiffany Hackett, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8700 Beverly Blvd., Los Angeles, CA 90048 Phone: 310-967-1884 Fax: 310-967-1744 | |
Brennen J. Beatty, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6041 Cadillac Ave, Los Angeles, CA 90034 Phone: 323-857-2000 | |
Matthew S. Berry, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6041 Cadillac Ave, Los Angeles, CA 90034 Phone: 323-857-2000 | |
Phillip Gruber, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1200 N State St, Los Angeles, CA 90033 Phone: 323-226-6667 | |
Daniel Weingrow, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 757 Westwood Plz, Los Angeles, CA 90095 Phone: 310-825-2111 |