Joo Ae Park, AMFT, RN is a
Counselor - Mental Health based in Garden Grove, California. Joo Ae Park is licensed to practice in * (Not Available) (license number ) and her current practice location is
12966 Euclid St Ste 495, Garden Grove, California. She can be reached at her office (for appointments etc.) via phone at
(714) 461-3687.
NPI number for Joo Ae Park is 1932941424 and her current mailing address is 12966 Euclid St Ste 495, Garden Grove, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1932941424.
Provider's Profile
Full Name | Joo Ae Park |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 12966 Euclid St Ste 495, Garden Grove, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1932941424
- Provider Enumeration Date: 06/07/2024
- Last Update Date: 06/07/2024
Medical Identifiers
Medical identifiers for Joo Ae Park such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932941424 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 95178550 (California) | Secondary |
101YM0800X | Counselor - Mental Health | (* (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. Joo Ae 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 |
Joo Ae Park, AMFT, RN 12966 Euclid St Ste 495, Garden Grove, CA 92840-9209 Ph: (714) 461-3687 | Joo Ae Park, AMFT, RN 12966 Euclid St Ste 495, Garden Grove, CA 92840-9209 Ph: (714) 461-3687 |
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