Mi N Park, is a
Psychologist based in Los Angeles, California. Mi N Park is licensed to practice in California (license number PSY27071) and her current practice location is
300 Medical Plz Ste 1253, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at
(310) 794-4008.
NPI number for Mi N Park is 1013140268 and her current mailing address is 300 Medical Plz Ste 1253, Los Angeles, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013140268.
Healthcare Provider's Profile
Full Name | Mi N Park |
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Gender | Female |
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Speciality | Psychologist |
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Location | 300 Medical Plz Ste 1253, Los Angeles, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1013140268
- Provider Enumeration Date: 09/03/2009
- Last Update Date: 07/14/2015
Medical Identifiers
Medical identifiers for Mi N Park such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013140268 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
103T00000X | Psychologist | PSY27071 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mi N Park is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mi N Park, 300 Medical Plz Ste 1253, Los Angeles, CA 90095-6967 Ph: (310) 794-4008 | Mi N Park, 300 Medical Plz Ste 1253, Los Angeles, CA 90095-6967 Ph: (310) 794-4008 |
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