Individual provider · Type 1 NPI
Jeesoon Park
Psychiatric/Mental Health Registered Nurse · Hawthorne, CA
NPI number
1740864370
Active
Practice location
13300 Hawthorne Blvd
Hawthorne, CA 90250-5805
Mailing address
12152 Napoli Dr
Cerritos, CA 90703-2773
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry Physician | 2084P0800X | 95028679 (CA) |
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 532285 (CA) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
3 other providers at this address
Other psychiatric/mental health registered nurse providers in Hawthorne
About NPI 1740864370
Jeesoon Park's National Provider Identifier is 1740864370, issued on May 10, 2021. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Hawthorne, CA. The record was last updated on Jan 27, 2024.