MI N PARK
Counselor

Address: 300 Medical Plz Ste 1253, Los Angeles, CA 90095-6967

MI N PARK (NPI# 1013140268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013140268
Entity Type Individual
Full Name MI N PARK
Gender Female
Practice Address 300 Medical Plz Ste 1253
Los Angeles
CA 90095-6967
Practice Telephone 3107944008
Mailing Address 300 Medical Plz Ste 1253
Los Angeles
CA 90095-6967
Mailing Telephone 3107944008
Enumeration Date 2009-09-03
Last Update Date 2015-07-14
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
N 101Y00000X Counselor Behavioral Health & Social Service Providers
Y 103T00000X Psychologist PSY27071 CA Behavioral Health & Social Service Providers

Physician Overview

PECOS Associate Control (PAC) ID 3870814163
by Medicare Provider Enrollment and Chain/Ownership System (PECOS)
Professional Enrollment ID I20150611003195
Last Name PARK
First Name MI
Middle Name N
Organization Legal Name UCSF PSYCHIATRY
Location 401 Parnassus Ave, San Francisco, CA 94143-2211
Phone Number 4154767000
Graduation Year 2012
Primary Specialty PSYCHIATRY
Group Practice PAC ID 4981680832
Number of Group Practice Members 57

Office Location

Street Address 300 MEDICAL PLZ STE 1253
City LOS ANGELES
State CA
Zip Code 90095-6967

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
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1346742947 Oscar Rinon Jr. Specialist/Technologist - Athletic Trainer 2131 John Wooden Center, Los Angeles, CA 90095 2018-02-28
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1629423348 Sohail Khodabakhshi Pharmacist 747 Westwood Plaza, Los Angeles, CA 90095 2016-05-02
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

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1467073965 Flowlab Inc Counselor 4528 Los Feliz Blvd, Los Angeles, CA 90027-2006 2020-05-06
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Competitor

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City LOS ANGELES
Zip Code 90095

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.