Individual provider · Type 1 NPI
Jeong Won Park
Psychiatric/Mental Health Registered Nurse · Palo Alto, CA
NPI number
1780594986
Active
Practice location
4139 El Camino Way
Palo Alto, CA 94306-4010
Fax (408) 642-6052
Mailing address
1922 The Alameda Ste 316
San Jose, CA 95126-1461
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 95385796 (CA) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1780594986
Jeong Won Park's National Provider Identifier is 1780594986, issued on Sep 9, 2026. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Palo Alto, CA. The record was last updated on Sep 9, 2026.