Sangdo Park, M.D., A Professional Corporation
NPI 1346590098ActiveOrganization· Orthopaedic Surgery, Sports Medicine· Los Angeles, CA
Orthopaedic Surgery, Sports Medicine in Los Angeles, California, registered in NPPES in September 2012. The authorized official on file is Sangdo Park, M.D., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1346590098 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 10, 2012 |
| Last updated in NPPES | Oct 24, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery, Sports Medicine Primary | 207XX0005X | A107642 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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