Sangdo Park
Sports Medicine Orthopaedic Surgeon
2105 Beverly Blvd Suite 223
Los Angeles
, California 90057-2216
Sangdo Park
Sports Medicine Orthopaedic Surgeon
2105 Beverly Blvd Suite 223
Los Angeles
, California 90057-2216
(213) 989-0644
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About
Features
Specialties
- Sports Medicine Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Sangdo Park
- 2105 Beverly Blvd Suite 223
- Los Angeles, CA
- Zip : 90057-2216
- Phone : (213) 989-0644
Second Address
- Sangdo Park
- 2105 Beverly Blvd Suite 223
- Los Angeles, CA
- Zip : 90057-2216
- Phone : (213) 989-0644
Reviews
FAQs
Where did Sangdo Park attend graduate school?
Where did Sangdo Park do his residency?
Where did Sangdo Park do his fellowship?
Is Sangdo Park board certified?
What type of doctor is Sangdo Park
In what state does Sangdo Park practice in?
Where is Sangdo Park ’s practice located?
What is Sangdo Park ’s gender?
Is Sangdo Park a sole practitioner?
Is Sangdo Park accepting new patients?
What languages does Sangdo Park speak?
Does Sangdo Park accept insurance?
Does Sangdo Park offers telemedicine?
What is Sangdo Park ’s professional license number?
What is Sangdo Park ’s NPI number?
Does Sangdo Park have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | A107642 | CA |
| N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | N6562 | TX |
National Provider Identifier
| NPI | 1164582656 |
|---|---|
| Provider Name | Sangdo Park |
| First Address | Los Angeles, CA 90057-2216 |
| Second Address | Los Angeles, CA 90057-2216 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/12/2006 |
| Last Update Date | 24/10/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 8CR159 | BC/BS TX - EFFECT. 02/01/2011 (01) | TX |
| 8W9051 | BCBS (01) | TX |
| P00935331 | RAILROAD MEDICARE (01) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.