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

Elisa Park

Individual provider Internal Medicine Physician · NPI 1477931186

Elisa Park is an Internal Medicine in Montebello, California. Qualified in 2015, 11 years ago. Practices with David D Sohn MD APC, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
11
Licensed in
CA
In the registry since
2015
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Practice location Address checks out

3114 W Beverly Blvd
Montebello, CA 90640-2217
Phone: (323) 726-3868
Fax: (323) 726-3870
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 20A16443 (CA)

Record details

NPI number1477931186
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 13, 2015
Last updated in NPPESAugust 18, 2020
Certification dateAugust 18, 2020
Mailing address3114 W Beverly Blvd, Montebello, CA 90640-2217

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesNEPHROLOGY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice David D Sohn Md Apc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Montebello