PETER YONGSUNG PARK MSW NPI 1265788616

NPI Information

NPI: 1265788616
Provider Name: PETER YONGSUNG PARK, MSW
Classification: Rehabilitation Practitioner - 225400000X
Entity Type: Individual
Address:
1665 W ADAMS BLVD
LOS ANGELES, CA
ZIP 90007
Phone: (909) 348-2035
Get Directions

Peter Yongsung Park, MSW is a rehabilitation practitioner in Los Angeles, CA. The provider is a health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. Peter Yongsung Park, MSW NPI is 1265788616. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1665 W ADAMS BLVD
LOS ANGELES, CA
ZIP 90007-533
Phone: (909) 348-2035

The enumeration date for this NPI number is 8/2/2012 and was last updated on 6/20/2017.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			No
2	225400000X	Rehabilitation Practitioner				Yes

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

NPI Synchronization or Removal

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