Samuel Park, PHD - Psychologist in La Jolla, CA

Samuel Park, PHD is a Psychologist based in La Jolla, California. Samuel Park is licensed to practice in California (license number PSY16648) and his current practice location is 9500 Gilman Drive, Mc 0304, La Jolla, California. He can be reached at his office (for appointments etc.) via phone at (858) 534-3755.

NPI number for Samuel Park is 1578738522 and his current mailing address is 9500 Gilman Drive, Mc 0304, La Jolla, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1578738522.

Contact Information

Samuel Park, PHD
9500 Gilman Drive, Mc 0304,
La Jolla, CA 92093-0304
(858) 534-3755
(858) 534-2628

Map and Direction




Healthcare Provider's Profile

Full NameSamuel Park
GenderMale
SpecialityPsychologist
Location9500 Gilman Drive, La Jolla, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1578738522
  • Provider Enumeration Date: 04/29/2008
  • Last Update Date: 04/29/2008

Medical Identifiers

Medical identifiers for Samuel Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578738522NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist PSY16648 (California)Primary
103TC1900XPsychologist - Counseling PSY16648 (California)Secondary

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. Samuel 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 AddressPractice Location Address
Samuel Park, PHD
9500 Gilman Drive, Mc 0304,
La Jolla, CA 92093-0304

Ph: (858) 534-3755
Samuel Park, PHD
9500 Gilman Drive, Mc 0304,
La Jolla, CA 92093-0304

Ph: (858) 534-3755

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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