SEON JI PARK MFC
NPI 1407895626
Marriage & Family Therapist in Monterey Park, CA

Active since June 05, 2006PECOS EnrolledAccepts Medicare Assignment
1000 CORPORATE CENTER DR STE 650, MONTEREY PARK, CA 91754(626) 966-1776 Get Directions Write a Review

NPPES record last updated: May 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 3, 2023, Jun 2, 2021 (2 updates tracked since 2021).

About Seon Ji Park Mfc NPPES

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

SEON JI PARK MFC (NPI 1407895626) is an individual marriage & family therapist in Monterey Park, California, licensed in California (MFC42519) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1407895626
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameSEON JI PARKCredential: MFC
Location Address1000 CORPORATE CENTER DR STE 650Monterey Park, CA 91754-7639
Mailing Address12450 Van Nuys Blvd Ste 200Pacoima, CA 91331-1393 · (818) 896-1161 · Fax (818) 896-5069
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJune 5, 2006
Last NPPES UpdateMay 3, 20232 updates tracked since enumeration
NPPES CertifiedMay 3, 2023
NPI 1407895626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in CA · MFC42519
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
1000 CORPORATE CENTER DR STE 650, Monterey Park, CA 91754

Other Identifiers 3

Medicaid7068CA
Medicaid6758CA
Medicaid7420CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Seon Ji Park Mfc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850889775
PECOS Enrollment IDI20251022004758
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 11

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

Social Worker (Clinical)
1000 CORPORATE CENTER DR STE 650
MONTEREY PARK, CA 91754
Student in an Organized Health Care Education/Training Program
1000 CORPORATE CENTER DR STE 650
MONTEREY PARK, CA 91754
Marriage & Family Therapist
1000 CORPORATE CENTER DR STE 650
MONTEREY PARK, CA 91754
Marriage & Family Therapist
1000 CORPORATE CENTER DR STE 650
MONTEREY PARK, CA 91754
Marriage & Family Therapist
1000 CORPORATE CENTER DR STE 650
MONTEREY PARK, CA 91754
Clinic/Center (Adolescent and Children Mental Health)
1000 CORPORATE CENTER DR STE 650
MONTEREY PARK, CA 91754
Rehabilitation Practitioner
1000 CORPORATE CENTER DR STE 650
MONTEREY PARK, CA 91754
Social Worker (Clinical)
1000 CORPORATE CENTER DR STE 650
MONTEREY PARK, CA 91754

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 Seon Park's NPI number?

The NPI number for Seon Park is 1407895626. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Where is Seon Park located?

Seon Park practices at 1000 Corporate Center Dr Ste 650, Monterey Park, CA 91754. The listed phone number is (626) 966-1776.

What is Seon Park's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Seon Park enrolled in Medicare?

Yes. Seon Park is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Seon Park was last updated on May 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.