SUSAN LEE PARK NP, L AC
NPI 1457511123
Nurse Practitioner - Gerontology in Irvine, CA

Q: What is Susan Park's NPI number?

The NPI number for Susan Park is 1457511123. It was assigned to this individual provider in the NPPES registry on June 16, 2008.

Q: What is Susan Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Susan Park was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since June 16, 2008

2700 ALTON PKWY STE 233, IRVINE, CA 92606(949) 475-2500 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Susan Lee Park Np, L Ac NPPES

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

SUSAN LEE PARK NP, L AC (NPI 1457511123) is an individual gerontology provider in Irvine, California, licensed in California (95035073) and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1457511123

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameSUSAN LEE PARKCredential: NP, L AC

Location Address2700 ALTON PKWY STE 233Irvine, CA 92606-2646

Mailing Address19745 E Colima Rd, Suite 12Rowland Heights, CA 91748 · (909) 595-5550

Phone(949) 475-2500

Sole ProprietorNo

Enumeration DateJune 16, 2008

Last NPPES UpdateMay 13, 2025

NPPES CertifiedMay 13, 2025

✔ NPI 1457511123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in CA · 95035073

Also ListedAcupuncturistTaxonomy 171100000X · License CA10252 (CA)

2700 ALTON PKWY STE 233, Irvine, CA 92606

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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 Susan Park's NPI number?

The NPI number for Susan Park is 1457511123. It was assigned to this individual provider in the NPPES registry on June 16, 2008.

Where is Susan Park located?

Susan Park practices at 2700 Alton Pkwy Ste 233, Irvine, CA 92606. The listed phone number is (949) 475-2500.

What is Susan Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Susan Park was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.