Park, John

Park, John is an sole proprietor health care provider with primary practice located at 1370 Valley Vista Dr Ste 200 , Diamond Bar CA 91765. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Park, John can be contacted via phone (909) 274-9119.

Contact Information

Primary practice address
1370 Valley Vista Dr Ste 200 Diamond Bar CA 91765
Phone: (909) 274-9119
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 30065 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X California
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY30065 California

Profile Details

NPI number 1750632501
LBN Legal business name Park, John
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 19th, 2012
Last updated Jul 27th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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