Individual provider · Type 1 NPI

Heidi Haewah Park, FNP-BC

Family Nurse Practitioner · Lynwood, CA

NPI number 1891588992 Active

Practice location

11705 S. Alameda St.
Lynwood, CA 90262-4023

Call (323) 568-4545 Map

Mailing address

801 S Plymouth Blvd Unit 201
Los Angeles, CA 90005-3892

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X15190 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1891588992

Heidi Haewah Park, FNP-BC's National Provider Identifier is 1891588992, issued on May 22, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lynwood, CA. The record was last updated on May 22, 2025.