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

Andrea Park

Individual provider Otolaryngology Physician · NPI 1396066205

Andrea Park is an Otolaryngology in Los Angeles, California. Graduated from University of Iowa, Rj & L Carver College of Medicine in 2010, 16 years ago. Practices with UCSF Medical Group Business Services, a 1,531-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California and Missouri.

Years since qualifying
16
Trained at
University of Iowa, Rj & L Carver College of Medicine
Licensed in
CA, MO
In the registry since
2010
Specialties on file
2
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Practice location Address checks out

200 Medical Plz Ste 550
Los Angeles, CA 90024-0000
Phone: (310) 206-6688
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 — (314) 747-8130

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence A148086 (CA)
Otolaryngology Physician Taxonomy 207Y00000X · Licence 2010017830 (MO)

Record details

NPI number1396066205
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 15, 2010
Last updated in NPPESJuly 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Also practisesPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolUNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Ucsf Medical Group Business Services — 1531 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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