| Jona Licensed Clinical Social Worker Pc | |
|
330 E Lambert Rd Ste 278c Brea CA 92821-4138 | |
| (714) 519-4578 | |
| (714) 613-0816 |
| Full Name | Jona Licensed Clinical Social Worker Pc |
|---|---|
| Speciality | Social Worker |
| Location | 330 E Lambert Rd Ste 278c, Brea, California |
| Authorized Official Name and Position | Euna Park (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 7145194578 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jona Licensed Clinical Social Worker Pc 330 E Lambert Rd Ste 278c Brea CA 92821-4138 Ph: (714) 519-4578 | Jona Licensed Clinical Social Worker Pc 330 E Lambert Rd Ste 278c Brea CA 92821-4138 Ph: (714) 519-4578 |
| NPI Number | 1932910825 |
|---|---|
| Provider Enumeration Date | 01/18/2025 |
| Last Update Date | 10/03/2025 |
| Certification Date | 10/03/2025 |
| Medicare PECOS PAC ID | 8628592656 |
|---|---|
| Medicare Enrollment ID | O20250410002818 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932910825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sarah H Ko |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1235678244 PECOS PAC ID: 3678915774 Enrollment ID: I20240521002160 |
| Provider Name | Shannon Choi Kim |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1760873236 PECOS PAC ID: 2466982319 Enrollment ID: I20250207002131 |
| Provider Name | Euna Lim Park |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285281337 PECOS PAC ID: 9537683560 Enrollment ID: I20250410002919 |
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