DR. YONG SUE PARK (NPI# 1194322495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194322495 |
| Entity Type | Individual |
| Full Name | DR. YONG SUE PARK |
| Credential | PHD |
| Practice Address |
1913 Wilshire Blvd Los Angeles CA 90057-3604 |
| Practice Telephone | 3102661026 |
| Mailing Telephone | 3102661026 |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2020-10-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
24913 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972027225 | Yong Suel Park | Dentist | 292 Route 94, Vernon, NJ 07462-3181 | 2017-07-28 |
| 1699047407 | Yong Hoon Park | Acupuncturist | 1911 Commercenter East, Suite 107, San Bernardino, CA 92408 | 2012-02-09 |
| 1316238470 | Yong Hwa Park | General Practice | 25676 Island Lake Dr, Novi, MI 48374-2175 | 2011-04-25 |
| 1154560696 | Yong Woon Park | Chiropractor | 5049 Birchwood Ave, Skokie, IL 60077-3349 | 2009-02-06 |
| 1205984317 | Yong J Park | Optometrist | 2609 Foothill Blvd, La Crescenta, CA 91214-3511 | 2007-01-08 |
| 1205913761 | Yong Park | Emergency Medicine | 506 4th St Nw, Jasper, FL 32052-6603 | 2006-11-01 |
| 1497869499 | Yong Ho Park | Surgery | 501 West Riverside Avenue, Superior, MT 59872-0847 | 2006-08-18 |
| 1811374325 | Yong Park | Pharmacist | 520 W Washington St, Sequim, WA 98382-3279 | 2015-05-05 |
| 1922388404 | Yong J Park | Pharmacist | 4801 N Lincoln Ave, Chicago, IL 60625-1915 | 2011-08-28 |
| 1902015415 | Yong S Park | Dentist | 515 West 6th Street, Jacksonville, FL 32206 | 2007-05-21 |
| Street Address |
1913 WILSHIRE BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90057-3604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518315 | Mayulee Wilawanwelsh | Massage Therapist | 349 S Lafayette Pk Pl, Los Angeles, CA 90057 | 2020-11-03 |
| 1437714615 | Jackeline L Ramon | Social Worker | 572 S. La Fayette Park Place #6, Los Angeles, CA 90057 | 2019-05-03 |
| 1467015743 | Chanhwi Jung | Acupuncturist | 349 South Lafayette Park Place, #208, Los Angeles, CA 90057 | 2019-04-22 |
| 1356818850 | Anshim Acupuncture Inc | Acupuncturist | 4501 Alameda St., #107b #115, Los Angeles, CA 90057 | 2018-11-01 |
| 1538634670 | Karina Herrera | Case Manager/Care Coordinator | 679 S. Hampshire Ave, Los Angeles, CA 90057 | 2018-10-04 |
| 1306323506 | Jessica Myung Jin Yun | Counselor | 520 S Lafayette Park Pl, Unit 300, Los Angeles, CA 90057 | 2018-07-20 |
| 1851887012 | Scott Moon | Dentist | 2426 W. 8th St. #209, Los Angeles, CA 90057 | 2018-07-10 |
| 1780176107 | Bianca Zafiro | Case Manager/Care Coordinator | 672 S Lafayette Park Place, Suite 6, Los Angeles, CA 90057 | 2018-06-01 |
| 1639677438 | Claudia E Vides Inc A Dental Corporation | Clinic/Center | 2033 W. 7th Street, Los Angeles, CA 90057 | 2018-01-26 |
| 1720596414 | Hee Sun No | Pharmacist | 269 S Lafayette Park Pl, 210, Los Angeles, CA 90057 | 2018-01-16 |
| Find all providers in zip 90057 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811594815 | Dena Schwimmer | Psychologist | 1227 S Genesee Ave, Los Angeles, CA 90019-2407 | 2020-10-03 |
| 1427684661 | Lucy Cotter | Psychologist | 205 N Larchmont Blvd, Los Angeles, CA 90004-3706 | 2020-03-19 |
| 1942831391 | Alise Cogger | Psychologist | 5026 Rosewood Ave Apt 403, Los Angeles, CA 90004-1795 | 2020-02-03 |
| 1962980201 | Brittany Nicole Beasley | Psychologist | 1031 W. 34th St., 3rd Floor, Suite 304, Los Angeles, CA 90089 | 2018-07-30 |
| 1699149484 | Rachel Kim | Psychologist | 639 N Broadway Apt 306, Los Angeles, CA 90012-4507 | 2015-11-17 |
| 1689068264 | Jeritt Ross Tucker | Psychologist | 700 S Flower St Ste 1000, Los Angeles, CA 90017-4112 | 2015-03-23 |
| 1831523901 | Sarah Arensman Miller | Psychologist | 11301 Wilshire Blvd. Bldg 256, Rm 106a, Va West Los Angeles (116b), Los Angeles, CA 90073 | 2013-08-26 |
| 1861746257 | Kathleen Watkins | Psychologist | 5616 Adale Pl, Los Angeles, CA 90043-2108 | 2012-11-06 |
| 1437379963 | Anne Vano | Psychologist | 8170 Beverly Blvd Ste 201, Los Angeles, CA 90048-4532 | 2007-04-26 |
| 1336204098 | Joanne Steuer | Psychologist | 1555 N Ogden Dr, Los Angeles, CA 90046-2615 | 2006-12-23 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90057 |
Please comment or provide details below to improve the information on DR. YONG SUE PARK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.