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

Individual provider Sports Medicine (Orthopaedic Surgery) Physician · NPI 1164582656

Sangdo Park, MD is an Orthopedic Surgery in Los Angeles, California. Graduated from Columbia University College of Physicians and Surgeons in 2004, 22 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California and Texas.

Years since qualifying
22
Trained at
Columbia University College of Physicians and Surgeons
Licensed in
CA, TX
In the registry since
2006
Specialties on file
2
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

2105 Beverly Blvd Ste 223
Los Angeles, CA 90057-2216
Phone: (213) 989-0644
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X · Licence A107642 (CA)
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X · Licence N6562 (TX)

Record details

NPI number1164582656
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 12, 2006
Last updated in NPPESOctober 24, 2012

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolCOLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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