Individual provider · Type 1 NPI

Jyung Kyung Park, LCSW

Rehabilitation Practitioner · Los Angeles, CA

NPI number 1235316761 Active

Practice location

3727 W 6th Street, Suite 411
Los Angeles, CA 90020

Call (213) 365-7400 Map

Fax (213) 201-3993

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed
Clinical Social Worker 1041C0700XLCSW28665 (CA)

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1235316761

Jyung Kyung Park, LCSW's National Provider Identifier is 1235316761, issued on Jan 28, 2008. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Los Angeles, CA. The record was last updated on Dec 18, 2015.