Sue Jong Park, is a
Social Worker - Clinical based in Los Angeles, California. Sue Jong Park is licensed to practice in California (license number LCSW63282) and her current practice location is
300 Ucla Medical Plz Ste 1100, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at
(310) 825-9989.
NPI number for Sue Jong Park is 1194073155 and her current mailing address is 5767 W Century Blvd Suite 400, Los Angeles, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194073155.
Healthcare Provider's Profile
Full Name | Sue Jong Park |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 300 Ucla Medical Plz Ste 1100, 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: 1194073155
- Provider Enumeration Date: 08/23/2012
- Last Update Date: 08/02/2021
Medical Identifiers
Medical identifiers for Sue Jong Park such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194073155 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | LCSW63282 (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. Sue Jong 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 |
Sue Jong Park, 5767 W Century Blvd Suite 400, Los Angeles, CA 90095-5631 Ph: (310) 301-8707 | Sue Jong Park, 300 Ucla Medical Plz Ste 1100, Los Angeles, CA 90095-5105 Ph: (310) 825-9989 |
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