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JEAN KIM PARK
NPI 1437293461
Counselor - Mental Health in Inglewood, CA

Active since February 15, 2007
111 N LA BREA AVE, SUITE 700, INGLEWOOD, CA 90301(310) 677-7808(310) 846-2139 Get Directions Write a Review

NPPES record last updated: November 28, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jean Kim Park NPPES

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

JEAN KIM PARK (NPI 1437293461) is an individual mental health provider in Inglewood, California and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1437293461
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJEAN KIM PARK
Location Address111 N LA BREA AVE, SUITE 700Inglewood, CA 90301-1752
Mailing Address4050 Glencoe Ave, #221Marina Del Rey, CA 90292-5608 · (310) 677-7808 · Fax (310) 846-2139
Phone(310) 677-7808
Fax(310) 846-2139
Sole ProprietorYes
Enumeration DateFebruary 15, 2007
Last NPPES UpdateNovember 28, 2007
✔ NPI 1437293461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
111 N LA BREA AVE, Inglewood, CA 90301
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Other Providers at the Same Location NPPES 20

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

MRS. TAMRA ISADORE STALLINGS BA
Case Manager/Care Coordinator
111 N LA BREA AVE, SUITE 500
INGLEWOOD, CA 90301
Los Angeles County (310) 677-7808
SUSAN CARLSSON STONE MFT
Marriage & Family Therapist
111 N LA BREA AVE
INGLEWOOD, CA 90301
Los Angeles County (310) 677-7808
LISETTE E BANUELOS MFTI
Marriage & Family Therapist
111 N LA BREA AVE
INGLEWOOD, CA 90301
Los Angeles County (310) 677-7808
ROBERT FELDMAN
Counselor (Mental Health)
111 N LA BREA AVE
INGLEWOOD, CA 90301
Los Angeles County (310) 846-2100
BEATRICE POKUAAH HOLLOWAY
Case Manager/Care Coordinator
111 N LA BREA AVE
INGLEWOOD, CA 90301
Los Angeles County (310) 766-7808
VICKY CARSULA CEREZO
Marriage & Family Therapist
111 N LA BREA AVE, 7TH FLOOR
INGLEWOOD, CA 90301
Los Angeles County (310) 677-7808
LIDIA WALKER B.A.
Case Manager/Care Coordinator
111 N LA BREA AVE, SUITE 700
INGLEWOOD, CA 90301
Los Angeles County (310) 677-7808
MR. JAMES ROBERT LATTA LCSW
Social Worker (Clinical)
111 N LA BREA AVE, SUITE 700
INGLEWOOD, CA 90301
Los Angeles County (310) 677-7808

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 Jean Park's NPI number?

The NPI number for Jean Park is 1437293461. It was assigned to this individual provider in the NPPES registry on February 15, 2007.

Where is Jean Park located?

Jean Park practices at 111 N La Brea Ave Suite 700, Inglewood, CA 90301. The listed phone number is (310) 677-7808.

What is Jean Park's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jean Park was last updated on November 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.