Individual provider · Type 1 NPI

Sally Park

Psychiatric/Mental Health Nurse Practitioner · Santa Ana, CA

NPI number 1306417571 Active

Practice location

1650 E 4th St Ste 101
Santa Ana, CA 92701-5159

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X95017023 (CA)
Family Nurse Practitioner 363LF0000X95017023 (CA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1306417571

Sally Park's National Provider Identifier is 1306417571, issued on Jul 8, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Santa Ana, CA. The record was last updated on Apr 13, 2026.