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SUE JIN PARK RN
NPI 1952813826
Registered Nurse - General Practice in Bishop, CA

Active since October 31, 2017
1360 N MAIN ST STE 124, BISHOP, CA 93514(760) 873-6533(760) 873-3277 Get Directions Write a Review

NPPES record last updated: January 27, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 27, 2022, Oct 31, 2017 (2 updates tracked since 2017).

About Sue Jin Park Rn NPPES

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

SUE JIN PARK RN (NPI 1952813826) is an individual general practice provider in Bishop, California, licensed in California (840776) and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1952813826
Entity TypeIndividualFemale
Primary Taxonomy163WG0000X
Provider Legal NameSUE JIN PARKCredential: RN
Location Address1360 N MAIN ST STE 124Bishop, CA 93514-3013
Mailing Address1360 N Main St Ste 124Bishop, CA 93514-3013 · (760) 873-6533 · Fax (760) 873-3277
Phone(760) 873-6533
Fax(760) 873-3277
Sole ProprietorNo
Enumeration DateOctober 31, 2017
Last NPPES UpdateJanuary 27, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2022
✔ NPI 1952813826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered Nurse · General PracticeNursing Service Providers
Taxonomy Code163WG0000X
License✔ Licensed in CA · 840776
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 95005086 (CA)
1360 N MAIN ST STE 124, Bishop, CA 93514
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Other Providers at the Same Location NPPES 4

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

MS. KATHARINE PAQUETTE
Counselor (Mental Health)
1360 N MAIN ST STE 124
BISHOP, CA 93514
Mono County (760) 872-2590
JARED NILSSON
Marriage & Family Therapist
1360 N MAIN ST STE 124
BISHOP, CA 93514
Mono County (760) 874-3613
SERENA ROSE RENDA
Marriage & Family Therapist
1360 N MAIN ST STE 124
BISHOP, CA 93514
Mono County (347) 885-1469
HOLLY ANNE DISTEL
Counselor
1360 N MAIN ST STE 124
BISHOP, CA 93514
Mono County (760) 872-4837

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 Sue Park's NPI number?

The NPI number for Sue Park is 1952813826. It was assigned to this individual provider in the NPPES registry on October 31, 2017.

Where is Sue Park located?

Sue Park practices at 1360 N Main St Ste 124, Bishop, CA 93514. The listed phone number is (760) 873-6533.

What is Sue Park's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in General Practice, with taxonomy code 163WG0000X.

When was this NPI record last updated?

The NPPES record for Sue Park was last updated on January 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.