Individual provider · Type 1 NPI

Jung In Park, PSYD

Clinical Psychologist · Los Angeles, CA

NPI number 1003714189 Active

Practice location

John Wooden Center West 221 Westwood Plaza
Los Angeles, CA 90095-1556

Mailing address

6409 1/2 Orange St
Los Angeles, CA 90048-4719

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X37055 (CA)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1003714189

Jung In Park, PSYD's National Provider Identifier is 1003714189, issued on Oct 28, 2026. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 28, 2026.