Chan Young Park, MD
Psychiatry & Neurology, Psychiatry in Los Angeles, CA. Individual provider (NPI-1).
NPI number1366071045
StatusActive
Last updated in NPPESJan 16, 2025
Details
- NPI
- 1366071045
- Entity type
- Individual (NPI-1)
- Name
- Chan Young Park
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 5, 2020
- Certification date
- Jan 16, 2025
- Last updated
- Jan 16, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | A189210 | CA | Yes |
Practice location
11301 Wilshire Blvd Bldg 500Los Angeles, CA 90073-1003
Phone 818-307-0280
Mailing address
11209 National Blvd Unit 1055Los Angeles, CA 90064-3902
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