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

Mr. Young Il Park, FNP

Individual provider Registered Nurse · NPI 1811609100

Mr. Young Il Park, FNP is a Nurse Practitioner in Los Angeles, California. Qualified in 2021, 5 years ago. Practices with Comprehensive Community Health Centers Inc, a 48-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2022
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

525 N Madison Ave Apt 103
Los Angeles, CA 90004-2285
Phone: (213) 308-0777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95023005 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 95173940 (CA)

Record details

NPI number1811609100
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorYes
NPI enumeratedDecember 19, 2022
Last updated in NPPESDecember 19, 2022
Certification dateDecember 18, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Comprehensive Community Health Centers Inc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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