HEIDI HAEWAH PARK FNP-BC
NPI 1891588992
Nurse Practitioner - Family in Lynwood, CA

Q: What is Heidi Park's NPI number?

The NPI number for Heidi Park is 1891588992. It was assigned to this individual provider in the NPPES registry on May 22, 2025.

Q: What is Heidi Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Heidi Park was last updated on May 22, 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 May 22, 2025

11705 S. ALAMEDA ST., LYNWOOD, CA 90262(323) 568-4545 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Heidi Haewah Park Fnp-bc NPPES

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

HEIDI HAEWAH PARK FNP-BC (NPI 1891588992) is an individual family provider in Lynwood, California, licensed in California (15190) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1891588992

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameHEIDI HAEWAH PARKCredential: FNP-BC

Location Address11705 S. ALAMEDA ST.Lynwood, CA 90262-4023

Mailing Address801 S Plymouth Blvd Unit 201Los Angeles, CA 90005-3892 · (818) 279-1699

Phone(323) 568-4545

Sole ProprietorYes

Enumeration DateMay 22, 2025

NPPES CertifiedMay 22, 2025

✔ NPI 1891588992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in CA · 15190

11705 S. ALAMEDA ST., Lynwood, CA 90262

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

MS. CORINNE PALMA

Counselor (Mental Health)

11705 S. ALAMEDA ST.
LYNWOOD, CA 90262

Los Angeles County (323) 568-4678

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 Heidi Park's NPI number?

The NPI number for Heidi Park is 1891588992. It was assigned to this individual provider in the NPPES registry on May 22, 2025.

Where is Heidi Park located?

Heidi Park practices at 11705 S. Alameda St., Lynwood, CA 90262. The listed phone number is (323) 568-4545.

What is Heidi Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Heidi Park was last updated on May 22, 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.