Michelle C Park, is a
Case Manager/care Coordinator based in La Mesa, California. Michelle C Park is licensed to practice in * (Not Available) (license number ) and her current practice location is
5360 Jackson Dr, La Mesa, California. She can be reached at her office (for appointments etc.) via phone at
(619) 353-0818.
NPI number for Michelle C Park is 1972736148 and her current mailing address is 5360 Jackson Dr, La Mesa, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1972736148.
Healthcare Provider's Profile
| Full Name | Michelle C Park |
|---|
| Gender | Female |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 5360 Jackson Dr, La Mesa, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1972736148
- Provider Enumeration Date: 09/03/2009
- Last Update Date: 07/10/2026
Medical Identifiers
Medical identifiers for Michelle C Park such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1972736148 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | 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. Michelle C 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 |
Michelle C Park, 5360 Jackson Dr, La Mesa, CA 91942-6002 Ph: (619) 987-1151 | Michelle C Park, 5360 Jackson Dr, La Mesa, CA 91942-6002 Ph: (619) 353-0818 |
Reviews and Comments