Individual provider · Type 1 NPI

Grace Yae Eun Park

Student in an Organized Health Care Education/Training Program · Los Angeles, CA

NPI number 1043987902 Active

Practice location

1985 Zonal Ave
Los Angeles, CA 90089-5305

Call (323) 442-1369 Map

Mailing address

25604 Via Ventana
Valencia, CA 91381-0642

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1043987902

Grace Yae Eun Park's National Provider Identifier is 1043987902, issued on Aug 26, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 21, 2021.