JEESOON PARK NPI 1740864370

NPI Information

  • NPI: 1740864370
  • Provider Name: JEESOON PARK
  • Classification: Registered Nurse - 163WP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 13300 HAWTHORNE BLVD
    HAWTHORNE, CA
    ZIP 90250
  • Phone: (424) 365-3031

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NPI Details

Jeesoon Park is a psychiatric/mental health registered nurse in Hawthorne, CA. Jeesoon Park NPI is 1740864370. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

13300 HAWTHORNE BLVD
HAWTHORNE, CA
ZIP 90250-805
Phone: (424) 365-3031

The enumeration date for this NPI number is 5/10/2021 and was last updated on 1/27/2024.

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
12084P0800XPsychiatry & NeurologyPsychiatry95028679CALIFORNIANo
2163WP0808XRegistered NursePsychiatric/Mental Health532285CALIFORNIAYes

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: 11/21/2025

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