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

Dr. Andrew Park, MD

Individual provider Dermatology Physician · NPI 1033678305

Dr. Andrew Park, MD is a Dermatology in Los Angeles, California. Graduated from Geisel School of Medicine at Dartmouth in 2019, 7 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Trained at
Geisel School of Medicine at Dartmouth
Licensed in
CA
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

11645 Wilshire Blvd Ste 900
Los Angeles, CA 90025-6811
Phone: (424) 243-7668
Fax: (213) 408-4414
Show map & directions

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

Additional practice locations (1)

  • 3828 Schaufele Ave Ste 300, Long Beach, CA 90808-1793 — (562) 997-1144

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence A188055 (CA)

Record details

NPI number1033678305
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 17, 2019
Last updated in NPPESMay 12, 2026
Certification dateMay 12, 2026

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolGEISEL SCHOOL OF MEDICINE AT DARTMOUTH
Graduated 2019 (7 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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