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

Ted Park, MD

Individual provider Family Medicine Physician · NPI 1871113050

Ted Park, MD is a Family Practice in Whittier, California. Graduated from Loma Linda University School of Medicine in 2020, 6 years ago. Practices with PIH Health Physicians, a 614-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Washington.

Years since qualifying
6
Trained at
Loma Linda University School of Medicine
Licensed in
CA, WA
In the registry since
2020
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

12291 Washington Blvd Ste 500
Whittier, CA 90606-2551
Phone: (562) 698-2541
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 501 Se 172nd Ave, Vancouver, WA 98684-9542 — (360) 882-2778

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A178286 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD61411462 (WA)

Record details

NPI number1871113050
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 17, 2020
Last updated in NPPESDecember 3, 2025
Certification dateDecember 3, 2025
Mailing address12291 Washington Blvd Ste 500, Whittier, CA 90606-2551

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Pih Health Physicians — 614 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Whittier