SUE JIN PARK RN NPI 1952813826

NPI Information

  • NPI: 1952813826
  • Provider Name: SUE JIN PARK, RN
  • Classification: Registered Nurse - 163WG0000X
  • Specialization: General Practice
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1360 N MAIN ST STE 124
    BISHOP, CA
    ZIP 93514
  • Phone: (760) 873-6533

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NPI Details

Sue Jin Park, RN is a general practice registered nurse in Bishop, CA. Sue Jin Park, RN NPI is 1952813826. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1360 N MAIN ST STE 124
BISHOP, CA
ZIP 93514-013
Phone: (760) 873-6533
Fax: (760) 873-3277

The NPI 1952813826 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 10/31/2017 and was last updated on 1/27/2022.

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
1363LF0000XNurse PractitionerFamily95005086CALIFORNIANo
2163WG0000XRegistered NurseGeneral Practice840776CALIFORNIAYes

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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