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SA HEEN PARK MD
NPI 1124821194
Student in an Organized Health Care Education/Training Program in Harbor City, CA

Active since March 27, 2025
1403 LOMITA BLVD STE 102, HARBOR CITY, CA 90710(310) 602-2550 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sa Heen Park Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SA HEEN PARK MD (NPI 1124821194) is an individual student in an organized health care education/training program in Harbor City, California and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1124821194
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSA HEEN PARKCredential: MD
Location Address1403 LOMITA BLVD STE 102Harbor City, CA 90710-2084
Mailing Address1403 Lomita Blvd Ste 102Harbor City, CA 90710-2084 · (310) 602-2550
Phone(310) 602-2550
Sole ProprietorYes
Enumeration DateMarch 27, 2025
NPPES CertifiedMarch 27, 2025
✔ NPI 1124821194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1403 LOMITA BLVD STE 102, Harbor City, CA 90710
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Other Names 1

Other Name (5)Carrie Park

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LYNNEA WILSON MORM
Family Medicine
1403 LOMITA BLVD STE 102
HARBOR CITY, CA 90710
Los Angeles County (310) 534-7600
DR. ELVINA L TORRES-CAMPOS M.D.
Family Medicine
1403 LOMITA BLVD STE 102
HARBOR CITY, CA 90710
Los Angeles County (310) 534-7600
DR. MONICA HAU HIEN LE M.D.
Family Medicine
1403 LOMITA BLVD STE 102
HARBOR CITY, CA 90710
Los Angeles County (310) 602-2562
MARTHA ESPERANZA RODAS MALDONADO MD
Family Medicine
1403 LOMITA BLVD STE 102
HARBOR CITY, CA 90710
Los Angeles County (310) 602-2600
JOSEPHINE ARANDA PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1403 LOMITA BLVD STE 102
HARBOR CITY, CA 90710
Los Angeles County (310) 534-6114
EZEQUIEL ADONY ANDRADE MD
Family Medicine (Geriatric Medicine)
1403 LOMITA BLVD STE 102
HARBOR CITY, CA 90710
Los Angeles County (424) 306-4000
DR. CARLA ANN TOMS MD
Hospitalist
1403 LOMITA BLVD STE 102
HARBOR CITY, CA 90710
Los Angeles County (310) 534-6221
CLAY THIBODEAUX MD
Family Medicine
1403 LOMITA BLVD STE 102
HARBOR CITY, CA 90710
Los Angeles County (424) 306-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sa Heen Park's NPI number?

The NPI number for Sa Heen Park is 1124821194. It was assigned to this individual provider in the NPPES registry on March 27, 2025. The provider is also known as Carrie Park.

Where is Sa Heen Park located?

Sa Heen Park practices at 1403 Lomita Blvd Ste 102, Harbor City, CA 90710. The listed phone number is (310) 602-2550.

What is Sa Heen Park's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Sa Heen Park was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.