Individual provider · Type 1 NPI

Justin Park

Student in an Organized Health Care Education/Training Program · West Hollywood, CA

NPI number 1710780903 Active

Practice location

8700 Beverly Blvd Ste 3622
West Hollywood, CA 90048-1804

Call (310) 423-7417 Map

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 1710780903

Justin Park's National Provider Identifier is 1710780903, issued on Mar 31, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in West Hollywood, CA. The record was last updated on Nov 8, 2025.