Individual provider · Type 1 NPI

Se J. Park, NP-C, DNP

Nurse Practitioner · Irvine, CA

NPI number 1871031518 Active

Practice location

1000 Fivepoint
Irvine, CA 92618-2377

Call (800) 826-4673 Map

Mailing address

PO Box 512185
Los Angeles, CA 90051-0185

Other practice locations

1500 Duarte Rd, Duarte, CA 91010-3012 · (800) 826-4673
55 Whitcher St NE Ste 250, Marietta, GA 30060-1169 · (770) 428-4475

Specialties and licenses

Taxonomy	Code	License
Gerontology Nurse Practitioner	363LG0600X	RN243386 (GA)
Nurse Practitioner Primary	363L00000X	95023379 (CA)
Gerontology Nurse Practitioner	363LG0600X	95023379 (CA)
Nurse Practitioner	363L00000X	RN243386 (GA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1871031518

Se J. Park, NP-C, DNP's National Provider Identifier is 1871031518, issued on Feb 2, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Irvine, CA. The record was last updated on Oct 30, 2025.