Individual provider · Type 1 NPI

Henna Shim Park, DO

Pediatrics Physician · San Diego, CA

NPI number 1962039941 Active

Practice location

3811 Valley Centre Dr
San Diego, CA 92130-2332

Mailing address

10790 Rancho Bernardo Rd
San Diego, CA 92127-5705

Other practice locations

  • 2176 Salk Ave Ste 200, Carlsbad, CA 92008-7346 · (760) 827-7400

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician Primary 208000000X20A21399 (CA)

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

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About NPI 1962039941

Henna Shim Park, DO's National Provider Identifier is 1962039941, issued on Mar 27, 2020. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in San Diego, CA. The record was last updated on Sep 23, 2026.