Lydia Park

NPI 1235620287 · on the registry since 2018

Practice

Address: 7750 Dagget St Ste 211
San Diego, CA 92111
Phone: (619) 432-7996
Fax: (206) 593-5185
Organisation at this address: Mingi Kim Dds, Inc
Harvard Medical Group Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 207R00000X
207R00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-05-23

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