JEAN KIM PARK (NPI# 1437293461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437293461 |
| Entity Type | Individual |
| Full Name | JEAN KIM PARK |
| Practice Address |
111 N La Brea Ave Suite 700 Inglewood CA 90301-1752 |
| Mailing Address |
4050 Glencoe Ave #221 Marina Del Rey CA 90292-5608 |
| Practice Telephone | 3106777808 |
| Practice Fax Number | 3108462139 |
| Mailing Telephone | 3106777808 |
| Mailing Fax Number | 3108462139 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2007-11-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982176228 | Jean Park | Occupational Therapist | 1000 Claremont Rd, Carlisle, PA 17013-7310 | 2018-12-27 |
| 1508229832 | Jean Park | Ophthalmology | 1365b Clifton Rd Ne, Atlanta, GA 30322-1013 | 2016-04-04 |
| 1205098183 | Jean Park | Obstetrics & Gynecology | 9985 Sierra Ave, Fontana, CA 92335-6720 | 2008-07-01 |
| 1306048087 | Jean Young Park | Internal Medicine | 664 Stoneleigh Ave, Ste. 300, Carmel, NY 10512-3940 | 2007-06-04 |
| 1861512592 | Jean Young Park | Internal Medicine | 5601 Loch Raven Blvd, Russell Morgan Bldg., 3rd Floor, Baltimore, MD 21239-2905 | 2007-03-29 |
| Street Address |
111 N LA BREA AVE SUITE 700 |
| City | INGLEWOOD |
| State | CA |
| Zip Code | 90301-1752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568483014 | Orie Thomas Vaughn | Podiatrist | 111 N La Brea Ave, Suite 301, Inglewood, CA 90301-1752 | 2006-07-21 |
| 1457631855 | Enisha Clark | Social Worker | 111 N La Brea Ave, Inglewood, CA 90301-1752 | 2011-08-17 |
| 1063705069 | Robert Feldman | Counselor | 111 N La Brea Ave, Inglewood, CA 90301-1752 | 2011-05-24 |
| 1821388307 | Diana C. Corral | Social Worker | 111 N La Brea Ave, Inglewood, CA 90301-1752 | 2011-04-18 |
| 1043530546 | Stephen O. Abanise | Social Worker | 111 N La Brea Ave, Inglewood, CA 90301-1752 | 2010-06-07 |
| 1245550284 | Tamika Aaron | Counselor | 111 N La Brea Ave, Inglewood, CA 90301-1752 | 2010-06-01 |
| 1043535818 | Susan Carlsson Stone | Marriage & Family Therapist | 111 N La Brea Ave, Inglewood, CA 90301-1752 | 2010-04-05 |
| 1285964270 | Patricia Lynn Nielsen | Counselor | 111 N La Brea Ave, Inglewood, CA 90301-1752 | 2010-01-13 |
| 1548590151 | Susana Stewart | Social Worker | 111 N La Brea Ave, Inglewood, CA 90301-1752 | 2010-01-04 |
| 1902035504 | Nestor Presas | Marriage & Family Therapist | 111 N La Brea Ave, 700, Inglewood, CA 90301-1752 | 2009-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548897945 | Genevieve V. Angel | Registered Nurse | 555 East Hardy Street, Director of Cm Sw, Centinela Hospital Medical Center, Inglewood, CA 90301 | 2020-03-25 |
| 1992338552 | Ralph Kevin Roque | Licensed Practical Nurse | 614 W Manchester Blvd, Inglewood, Ca 90301, 104, Inglewood, CA 90301 | 2020-02-21 |
| 1043841562 | Evelyn Jones | Social Worker | 555 E. Hardy Street, Inglewood, Ca, CA 90301 | 2020-02-03 |
| 1447896444 | Coral Dabarera Edelson | Dietitian, Registered | 110 North La Brea Ave, Inglewood, CA 90301 | 2019-11-25 |
| 1821642125 | Jennifer Robert Umoh | Student in an Organized Health Care Education/Training Program | 412 E Florence Avenue, Inglewood, CA 90301 | 2019-07-25 |
| 1821567751 | Esther Voltaire | Behavior Technician | 619 E Arbor Vitae St, Inglewood, CA 90301 | 2018-11-21 |
| 1902372832 | Pool Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 323 North Prairie Ave, Suite 200, Ingelwood, CA 90301 | 2018-10-18 |
| 1174003594 | Xelnt Healthcare Inc. | Clinic/Center | 501 E Hardy St Ste 425, Inglewood, CA 90301 | 2018-08-15 |
| 1710409321 | Rae Shelston Mcintosh | Licensed Vocational Nurse | 1007 Myrth Ave, Inglewood, CA 90301 | 2017-07-14 |
| 1477093789 | Lewis E Logan II | Counselor | 332 N. Prairie Ave., Suite 417, Inglewood, CA 90301 | 2017-03-06 |
| Find all providers in zip 90301 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053967513 | Alaysia Monson | Counselor | 2301 W Imperial Hwy, Inglewood, CA 90303-3322 | 2019-08-12 |
| 1851645030 | Mable Alyse Manning | Counselor | 101 N. Labrea Ave. 301, Inglewood, CA 90301 | 2012-11-09 |
| 1275816415 | Sonya Marie Jesus | Counselor | 323 N Prarie Ave., Inglewood, CA 90301 | 2011-09-23 |
| 1811270002 | Diana Mariel Siguenza | Counselor | 323 North Prairie Avenue, Inglewood, CA 90301 | 2011-09-23 |
| 1679870380 | Vikia G Dupree | Counselor | 300 W Hyde Park Blvd Apt 18, Inglewood, CA 90302-2953 | 2011-02-15 |
| 1124247655 | Adrienne Marie Braden | Counselor | 2500 W Manchester Blvd, Inglewood, CA 90305-2520 | 2007-04-24 |
| 1780708446 | Leonsha' Davon Fields Sr. | Counselor | 822 Myrtle Ave Apt 2, Inglewood, CA 90301-8084 | 2007-03-19 |
| 1841323631 | Linda B Thompson | Counselor | 2529 W 102nd St, Inglewood, CA 90303-1630 | 2007-03-13 |
| 1184753204 | Miriam Antonia Salazar | Counselor | 3753 W 108th St, Inglewood, CA 90303-1915 | 2007-03-05 |
| 1538212154 | Vanessa Lowe Maratas Yap | Counselor | 111 N. La Brea Ave, Suite 500, Inglewood, CA 90301-1752 | 2007-01-18 |
| Find all providers in INGLEWOOD | ||||
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| 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.