Jeesoon Park, is a
Registered Nurse - Psychiatric/mental Health physician based in Hawthorne, California. Jeesoon Park is licensed to practice in California (license number 532285) and her current practice location is 13300 Hawthorne Blvd, Hawthorne, California. She can be reached at her office (for appointments etc.) via phone at
(424) 365-3031.
NPI number for Jeesoon Park is 1740864370 and her current mailing address is 12152 Napoli Dr, Cerritos, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1740864370.
Physician's Profile
Full Name | Jeesoon Park |
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Gender | Female |
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Speciality | Registered Nurse - Psychiatric/mental Health |
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Location | 13300 Hawthorne Blvd, Hawthorne, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1740864370
- Provider Enumeration Date: 05/10/2021
- Last Update Date: 01/27/2024
Medical Identifiers
Medical identifiers for Jeesoon Park such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740864370 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 95028679 (California) | Secondary |
163WP0808X | Registered Nurse - Psychiatric/mental Health | 532285 (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. Jeesoon 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 |
Jeesoon Park, 12152 Napoli Dr, Cerritos, CA 90703-2773 Ph: (310) 402-3751 | Jeesoon Park, 13300 Hawthorne Blvd, Hawthorne, CA 90250-5805 Ph: (424) 365-3031 |
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