1. Home
  2. Directory
  3. California
  4. Hawthorne
  5. Registered Nurse
  6. NPI Profile

JEESOON PARK
NPI 1740864370
Registered Nurse - Psychiatric/Mental Health in Hawthorne, CA

Active since May 10, 2021
13300 HAWTHORNE BLVD, HAWTHORNE, CA 90250(424) 365-3031 Get Directions Write a Review

NPPES record last updated: January 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 26, 2021, May 10, 2021 (2 updates tracked since 2021).

About Jeesoon Park NPPES

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

JEESOON PARK (NPI 1740864370) is an individual psychiatric/mental health provider in Hawthorne, California, licensed in California (532285) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1740864370
Entity TypeIndividualFemale
Primary Taxonomy163WP0808X
Provider Legal NameJEESOON PARK
Location Address13300 HAWTHORNE BLVDHawthorne, CA 90250-5805
Mailing Address12152 Napoli DrCerritos, CA 90703-2773 · (310) 402-3751
Phone(424) 365-3031
Sole ProprietorYes
Enumeration DateMay 10, 2021
Last NPPES UpdateJanuary 27, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2024
✔ NPI 1740864370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers
Taxonomy Code163WP0808X
License✔ Licensed in CA · 532285
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 95028679 (CA)
13300 HAWTHORNE BLVD, Hawthorne, CA 90250
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

MRS. FANY STEFANOVA TOSHKOV LCSW
Social Worker (Clinical)
13300 HAWTHORNE BLVD
HAWTHORNE, CA 90250
Los Angeles County (310) 679-3321
BLESSING OKPALAUGO
Nurse Practitioner (Psychiatric/Mental Health)
13300 HAWTHORNE BLVD
HAWTHORNE, CA 90250
Los Angeles County (323) 788-1739
HENRIETHA UGOCHI IWOBI
Nurse Practitioner (Psychiatric/Mental Health)
13300 HAWTHORNE BLVD
HAWTHORNE, CA 90250
Los Angeles County (424) 365-3031

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 Jeesoon Park's NPI number?

The NPI number for Jeesoon Park is 1740864370. It was assigned to this individual provider in the NPPES registry on May 10, 2021.

Where is Jeesoon Park located?

Jeesoon Park practices at 13300 Hawthorne Blvd, Hawthorne, CA 90250. The listed phone number is (424) 365-3031.

What is Jeesoon Park's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.

When was this NPI record last updated?

The NPPES record for Jeesoon Park was last updated on January 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.