# PAUL W PARK MEDICAL GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841560802
- **Authorized official:** PAUL WONYOUNG PARK MD (OWNER)
- **Authorized official phone:** (713) 385-0618

## Contact information

- **Practice address:** 4278 W 3RD ST, LOS ANGELES, CA 90020-3449
- **Practice address phone:** (213) 368-0388
- **Practice address fax:** (213) 368-0389
- **Mailing address:** 7512 YANKEY ST, DOWNEY, CA 90242-2242
- **Mailing address phone:** (713) 385-0618

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | A91067 | CA | Yes |

## Other

- **Enumeration date:** 01/09/2012
- **Last updated:** 04/24/2017