Individual ProviderEileen ParkInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address4950 W Sunset Blvd, 6th Floor Internal Medicine, Los Angeles, CA 90027-5822(202) 550-8050PECOS EnrollmentBased on the most recent information from CMS, provider Eileen Park does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1164719399Provider TypeIndividualFull NamePark, EileenCredentialMDGenderFemaleSole ProprietorYesEnumeration Date7/8/2011Last Updated7/8/2011Contact InformationPractice LocationPractice Address4950 W Sunset Blvd, 6th Floor Internal Medicine, Los Angeles, CA 90027-5822Phone(202) 550-8050FaxUnlisted FaxMailing LocationMailing Address4950 W Sunset Blvd, 6th Floor Internal Medicine, Los Angeles, CA 90027-5822Phone(202) 550-8050FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseA114574California