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JINSU PARK
NPI 1982159091
Student in an Organized Health Care Education/Training Program in Marina, CA

Active since August 18, 2016
3030 ANTIETAM CT, MARINA, CA 93933(831) 917-8379 Get Directions Write a Review

NPPES record last updated: August 18, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jinsu Park NPPES

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

JINSU PARK (NPI 1982159091) is an individual student in an organized health care education/training program in Marina, California and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1982159091
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJINSU PARK
Location Address3030 ANTIETAM CTMarina, CA 93933-4901
Mailing Address3030 Antietam CtMarina, CA 93933-4901 · (831) 917-8379
Phone(831) 917-8379
Sole ProprietorNo
Enumeration DateAugust 18, 2016
✔ NPI 1982159091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3030 ANTIETAM CT, Marina, CA 93933
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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 Jinsu Park's NPI number?

The NPI number for Jinsu Park is 1982159091. It was assigned to this individual provider in the NPPES registry on August 18, 2016.

Where is Jinsu Park located?

Jinsu Park practices at 3030 Antietam Ct, Marina, CA 93933. The listed phone number is (831) 917-8379.

What is Jinsu Park's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jinsu Park was last updated on August 18, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.