Wilson H Park, M.d.,inc.
NPI 1164639704 · Internal Medicine Physician · Los Angeles, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wilson H Park, M.d.,inc. is a Internal Medicine Physician organization in Los Angeles, CA (NPI 1164639704).
Provider details
- NPI number
- 1164639704
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Wilson Park, President(213) 383-4000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Wilson H Park, M.D.
Registry dates
- Enumerated
- 2007-05-16
- Last updated
- 2009-09-17
Frequently asked questions
- What is Wilson H Park, M.d.,inc.'s NPI number?
- Wilson H Park, M.d.,inc.'s National Provider Identifier (NPI) is 1164639704, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wilson H Park, M.d.,inc.?
- Wilson H Park, M.d.,inc. is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Wilson H Park, M.d.,inc. located?
- Wilson H Park, M.d.,inc.'s practice location on file with NPPES is 3663 W 6th St, Los Angeles, CA 90020-3049.
- What is Wilson H Park, M.d.,inc.'s phone number?
- The practice phone number listed in the NPPES registry for Wilson H Park, M.d.,inc. is (213) 383-4000.
- Does Wilson H Park, M.d.,inc. accept Medicare?
- Wilson H Park, M.d.,inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Wilson H Park, M.d.,inc.?
- The authorized official listed on Wilson H Park, M.d.,inc.'s NPPES record is Wilson Park, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wilson H Park, M.d.,inc.'s NPI active?
- Yes — Wilson H Park, M.d.,inc.'s NPI (1164639704) is active in the NPPES registry as of the last update on 2009-09-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.