Search › California › 171100000X
Susan Park
NPI 1225775166 · on the registry since 2022 · sole proprietor
Practice
- Address
- 1516 E Lincoln Ave
Orange, CA 92865 - Phone
- (714) 947-5588
- Clinicians at this address
- 2
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
- 2022-05-12
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