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

Mr. Daniel Park, PA

Individual provider Physician Assistant · NPI 1538162631

Mr. Daniel Park, PA is a Physician Assistant in Los Angeles, California. Qualified in 1996, 30 years ago. Practices with USC Care Medical Group Inc, a 1,371-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
30
Licensed in
CA
In the registry since
2005
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1441 Eastlake Ave Ste 7416
Los Angeles, CA 90089-2211
Phone: (323) 865-3700
Fax: (323) 865-0120
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA13945 (CA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA13945 (CA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA13945 (CA)

Record details

NPI number1538162631
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 23, 2005
Last updated in NPPESFebruary 3, 2023
Certification dateSeptember 17, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Usc Care Medical Group Inc — 1371 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations9 on file with Medicare

Other providers in Los Angeles