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

Dr. Edward Henry Park, MD

Individual provider Family Medicine Physician · NPI 1740368984

Dr. Edward Henry Park, MD is a Family Medicine Physician in Los Angeles, California. Practices as a sole proprietor. Licensed in California, Florida, Hawaii and New York and 1 more.

Licensed in
CA, FL, HI, NY, TX
In the registry since
2006
Specialties on file
5
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

3980 Wilshire Blvd Apt 735
Los Angeles, CA 90010-4224
Phone: (714) 369-8633
Fax: (213) 214-3935
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Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence G83999 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence ME151720 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence T4994 (TX)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD20796 (HI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 310574 (NY)

Record details

NPI number1740368984
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 2, 2006
Last updated in NPPESJune 19, 2024
Certification dateJune 19, 2024

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