DR. LAURA HEEJIN PARK (M.D.) – Anesthesiology Physician, NPI 1083907372

DR. LAURA HEEJIN PARK (M.D.) is a healthcare provider. based in Laguna hills, California. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. A135695 (CA). The NPI Number for DR. LAURA HEEJIN PARK (M.D.) is 1083907372

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. LAURA HEEJIN PARK (M.D.)
NPI
1083907372
Phone
Not provided
Address
PO BOX 3493
Enumeration Date
19 May 2011
Last Update Date
22 November 2021

Doctor Profile

Medical School Name
UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Secondary Phone
8885540631
Graduation Year
2011 (15 years ago)
PAC ID
2365756467
Group Practice PAC ID
4587559026
Professional Enrollment ID
I20180222000283
Address ID
MD209104150SI8905XRDXX300

Contacts

SOAP Endpoint
https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:15State licenses:1Other namesUpdated within 12 months

6,369 ANESTHESIOLOGY in CA

Provider Addresses for DR. LAURA HEEJIN PARK (M.D.)

  • PO BOX 3493

    LAGUNA HILLS, CA 926543493

    Phone:

    Type: Mailing

  • 24451 HEALTH CENTER DR

    LAGUNA HILLS, CA 926533689

    Phone: (800) 888-2186

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $26.

Total Amount is formed as General ($26) + Research ($0) + Ownership ($0) = $26.

Last reported payment date: 2024-09-12 • Largest payer in this snapshot: ICU Medical Inc ($26).

Total Amount

$26

General + Research + Ownership

Payments

1

Total payment records

General Amount

$26

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ICU Medical Inc$26
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-04-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150803002493IAnesthesiologyCATBD
I20180222000283IAnesthesiologyDCTBD
I20220426000373IAnesthesiologyMDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92654)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587559026View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YMD
A N E S T H E S I O L O G YMI
A N E S T H E S I O L O G YMD
Certified Registered Nurse Anesthetist (Crna)MD
A N E S T H E S I O L O G YMD
Certified Registered Nurse Anesthetist (Crna)PA
Certified Registered Nurse Anesthetist (Crna)MD
A N E S T H E S I O L O G YMD
A N E S T H E S I O L O G YSC
Certified Registered Nurse Anesthetist (Crna)MD

Reviews

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Frequently asked questions

What identifier follows DR. LAURA HEEJIN PARK (M.D.) across health systems?
The NPI 1083907372 uniquely identifies DR. LAURA HEEJIN PARK (M.D.) in U.S. healthcare data.
Is DR. LAURA HEEJIN PARK (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. LAURA HEEJIN PARK (M.D.) as active.
How should patients interpret DR. LAURA HEEJIN PARK (M.D.)'s specialty?
The extract shows Anesthesiology Physician for DR. LAURA HEEJIN PARK (M.D.). Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. LAURA HEEJIN PARK (M.D.)?
DR. LAURA HEEJIN PARK (M.D.) is associated with Laguna Hills, California in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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