Park, Michelle C

Park, Michelle C is an individual health care provider with primary practice located at 5360 Jackson Dr , La Mesa CA 91942-6002. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Park, Michelle C can be contacted via phone (619) 353-0818.

Contact Information

Primary practice address
5360 Jackson Dr La Mesa CA 91942-6002
Phone: (619) 353-0818
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1972736148
LBN Legal business name Park, Michelle C
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2009
Last updated Jul 10th, 2026 - about 4 months 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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