SOO MIN PARK


Address: 1310 Wilshire Blvd, Los Angeles, CA 90017-1705
Phone: 2134833000

SOO MIN PARK (NPI# 1376669812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376669812
Entity Type Individual
Full Name SOO MIN PARK
Credential LCSW
Practice Address 1310 Wilshire Blvd
Los Angeles
CA 90017-1705
Practice Telephone 2134833000
Practice Fax Number 2134836529
Mailing Telephone 2134833000
Mailing Fax Number 2134836529
Enumeration Date 2007-03-22
Last Update Date 2015-01-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
LCS65000 CA Behavioral Health & Social Service Providers

Other Providers SOO PARK

NPI Name Taxonomy Address Enumeration
1821351198 Soo Park Internal Medicine Moores Ucsd Cancer Ctr, 3855 Health Sciences Drive, Mc-0829, La Jolla, CA 92093-0829 2012-06-20
1609819226 Soo H. Park Internal Medicine 5330 E Stop 11 Rd, Indianapolis, IN 46237-6345 2006-06-13
1124084728 Soo Tae Park Dentist 44841 N 10th St W, Lancaster, CA 93534 2006-04-22

Office Location

Street Address 1310 WILSHIRE BLVD
City LOS ANGELES
State CA
Zip Code 90017-1705

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245355932 Elvira Quintos Registered Nurse 1310 Wilshire Blvd, Los Angeles, CA 90017-1705 2007-03-20
1699374751 Hyung Jun Won Community Health Worker 1310 Wilshire Blvd, Los Angeles, CA 90017-1705 2020-10-20
1164029351 Cynthia Melissa Rodriguez Case Manager/Care Coordinator 1310 Wilshire Blvd, Los Angeles, CA 90017-1705 2020-10-01
1902412869 Manasanunt Esariyakuntham Community Health Worker 1310 Wilshire Blvd, Los Angeles, CA 90017-1705 2020-09-16
1144833328 Jessica Hyun Jin Weisbach Student in an Organized Health Care Education/Training Program 1310 Wilshire Blvd, Los Angeles, CA 90017-1705 2020-08-26
1972116440 Heidi Kim Student in an Organized Health Care Education/Training Program 1310 Wilshire Blvd, Los Angeles, CA 90017-1705 2020-08-25
1114541612 Kieu-maggie Ly Student in an Organized Health Care Education/Training Program 1310 Wilshire Blvd, Los Angeles, CA 90017-1705 2020-06-01
1346874096 Yea Jin Shin Case Manager/Care Coordinator 1310 Wilshire Blvd, Los Angeles, CA 90017-1705 2020-03-02
1730608472 Jocelyn Chow Marriage & Family Therapist 1310 Wilshire Blvd, Los Angeles, CA 90017-1705 2017-09-13
1649718545 Dennis Yuan Case Manager/Care Coordinator 1310 Wilshire Blvd, Los Angeles, CA 90017-1705 2017-02-10
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144833617 Guadalupe Vallejo Licensed Vocational Nurse 515 Columbia Avenue, #200, 515 Columbia Avenue, Los Angeles, CA 90017 2020-08-25
1376181768 Nirlok Corporation Optometrist 750 West 7th Street, Los Angeles, CA 90017 2019-12-16
1689228223 Marycarmen Beltran Student in an Organized Health Care Education/Training Program 333 S. Beaudry Ave., Los Angeles, CA 90017 2019-08-01
1639661465 Robin B Horowitz Counselor 333 South Beaudry Avenue, Los Angeles, CA 90017 2018-06-06
1710483797 Rose Jadidian Pharmacist 701 S. Flower, Ste. 3150, Los Angeles, CA 90017 2018-03-30
1417469875 Marykarla Gallegos Case Manager/Care Coordinator 1125 W. 6th St., Suite 103, Los Angeles, CA 90017 2017-10-25
1134646516 Maria Salas Rehabilitation Practitioner 333 S Beaudry Ave., Los Angeles, CA 90017 2017-08-25
1932638202 Butterfli Technologies Inc Transportation Broker 865 S Figueroa St Ste 2750, Los Angeles, CA 90017 2017-06-08
1316493125 Phamily Love Foundation Community/Behavioral Health 626 Wilshire Blvd ., Suite 910, Los Angeles, CA 90017 2016-08-31
1215392188 Jessica R. Garcia-hillard Specialist/Technologist 1111 W. 6th St., Suite 111, Los Angeles, CA 90017 2015-12-21
Find all providers in zip 90017

Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841899549 Callie Lind Klebanoff Social Worker 3162 Glenmanor Pl, Los Angeles, CA 90039-1713 2020-10-22
1215534060 Arianna Armstrong Social Worker 1417 Wildwood Dr, Los Angeles, CA 90041-3130 2020-10-05
1518572932 Jamila Leander Social Worker 1055 Wilshire Blvd Ste 1955, Los Angeles, CA 90017-5602 2020-09-11
1700491529 Danesha Jamerson Social Worker 4184 3rd Ave, Los Angeles, CA 90008-4043 2020-09-09
1427663384 Samantha Erin Stepleton Social Worker 3201 S Barrington Ave Apt E, Los Angeles, CA 90066-1139 2020-09-08
1821601345 Kei Nguyen Social Worker 3035 Ingledale Ter, Los Angeles, CA 90039-1719 2020-08-25
1659984292 Bina Zargari Social Worker 1129 S Holt Ave, Los Angeles, CA 90035-2405 2020-08-24
1275144685 Jessica Lindsay Sotelo Social Worker 1530 N Poinsettia Pl Apt 241, Los Angeles, CA 90046-7915 2020-08-11
1982212155 Alexandra Gubin Social Worker Ucla, 757 Westwood Medical Plaza, Los Angeles, CA 90095 2020-07-14
1811513187 Rafael C. Angulo Social Worker 315 S Virgil Ave Apt 103, Los Angeles, CA 90020-1300 2020-06-22
Find all providers in LOS ANGELES

Competitor

Search similar providers

City LOS ANGELES
Zip Code 90017

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Dataset Information

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.

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