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

Ellen Jiwon Park, MD

Individual provider Pediatric Anesthesiology Physician · NPI 1801057732

Ellen Jiwon Park, MD is a Pediatric Anesthesiology Physician in Los Angeles, California. Licensed in California and Massachusetts. Registered with an NPI since 2008.

Licensed in
CA, MA
In the registry since
2008
Specialties on file
3
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

1500 San Pablo St 4th Fl Anes
Los Angeles, CA 90033-5313
Phone: (323) 442-7400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence A110668 (CA)
Pediatric Anesthesiology Physician Taxonomy 207LP3000X · Licence A110668 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 236820 (MA)

Record details

NPI number1801057732
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 23, 2008
Last updated in NPPESNovember 7, 2017

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