Search › California › 171100000X
Jiyeon Park, PHD, LAC
NPI 1225583495 · on the registry since 2016 · sole proprietor
Practice
- Address
- 115 Windchime
Irvine, CA 92603 - Phone
- (949) 689-8236
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-08-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California