YONG JOON CALEB PARK
NPI 1720586902
Marriage & Family Therapist in Fullerton, CA

Q: What is Yong Joon Park's NPI number?

The NPI number for Yong Joon Park is 1720586902. It was assigned to this individual provider in the NPPES registry on January 23, 2018.

Q: What is Yong Joon Park's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Yong Joon Park was last updated on March 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 January 23, 2018PECOS Enrolled

211 IMPERIAL HWY STE 102, FULLERTON, CA 92835(562) 900-6193 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Yong Joon Caleb Park NPPES

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

YONG JOON CALEB PARK (NPI 1720586902) is an individual marriage & family therapist in Fullerton, California, licensed in California (LMFT154900) and active in the NPI registry since January 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1720586902

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameYONG JOON CALEB PARK

Location Address211 IMPERIAL HWY STE 102Fullerton, CA 92835-1047

Mailing Address5620 De Longpre Ave Apt 835Los Angeles, CA 90028-8750 · (562) 900-6193

Phone(562) 900-6193

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJanuary 23, 2018

Last NPPES UpdateMarch 6, 2026

NPPES CertifiedMarch 6, 2026

✔ NPI 1720586902 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 · LMFT154900

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.

211 IMPERIAL HWY STE 102, Fullerton, CA 92835

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Yong Joon Caleb Park is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3678058765

PECOS Enrollment IDI20260326002720

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 2

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

MS. GINA OPINALDO

Marriage & Family Therapist

211 IMPERIAL HWY STE 102
FULLERTON, CA 92835

Orange County (858) 405-4875

VERONYCA LAUREL NORCIA

Marriage & Family Therapist

211 IMPERIAL HWY STE 102
FULLERTON, CA 92835

Orange County (949) 610-8966

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 Yong Joon Park's NPI number?

The NPI number for Yong Joon Park is 1720586902. It was assigned to this individual provider in the NPPES registry on January 23, 2018.

Where is Yong Joon Park located?

Yong Joon Park practices at 211 Imperial Hwy Ste 102, Fullerton, CA 92835. The listed phone number is (562) 900-6193.

What is Yong Joon Park's specialty?

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

Is Yong Joon Park enrolled in Medicare?

Yes. Yong Joon Park is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Yong Joon Park was last updated on March 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.