Individual provider · Type 1 NPI
Judy Jooeun Park
Psychiatric/Mental Health Nurse Practitioner · San Diego, CA
NPI number
1336978170
Active
Practice location
200 W Arbor Dr
San Diego, CA 92103-9000
Fax (888) 539-8781
Mailing address
File 57326
Los Angeles, CA 90074-0001
Other practice locations
- 1509 Wilson Ter, Glendale, CA 91206-4007 · (818) 409-8063
- 6363 Greenwich Dr, San Diego, CA 92122-5947 · (800) 926-8273
- 6645 Alvarado Rd, San Diego, CA 92120-5208 · (800) 926-8273
- 6655 Alvarado Rd, San Diego, CA 92120-5208 · (800) 926-8273
- 350 Dickinson St, San Diego, CA 92103-1913 · (800) 926-8273
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95030661 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1336978170
Judy Jooeun Park's National Provider Identifier is 1336978170, issued on Jul 30, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in San Diego, CA. The record was last updated on Sep 25, 2024.