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ESTHER PARK D.O. LLC NPI 1104002096


NPI Information

NPI: 1104002096
Provider Name: ESTHER PARK, D.O., LLC

Doing Business As: PARK PSYCHIATRY, LLC

Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Organization

Specialization: Child & Adolescent Psychiatry

Address:
1101 DOVE ST
SUITE 130
NEWPORT BEACH, CA
ZIP 92660
Phone: (949) 258-3741
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ESTHER PARK, D.O., LLC is a child and adolescent psychiatry psychiatry neurology in Newport Beach, CA. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. ESTHER PARK, D.O., LLC NPI is 1104002096. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Park Psychiatry, Llc.

The provider's business location address is:

1101 DOVE ST
SUITE 130
NEWPORT BEACH, CA
ZIP 92660-844
Phone: (949) 258-3741
Fax: (949) 258-3742

The provider's authorized official is Paul Kim .
The authorized official title is Office Manager and has the following contact phone number (949) 258-3741.

The enumeration date for this NPI number is 1/10/2008 and was last updated on 1/3/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry20A7734CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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