Park, Seon Ji
Park, Seon Ji is an individual health care provider with primary practice located at 1000 Corporate Center Dr Ste 650 , Monterey Park CA 91754-7639. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Park, Seon Ji can be contacted via phone (626) 966-1776.Contact Information
Primary practice address
1000 Corporate Center Dr Ste 650
Monterey Park CA 91754-7639
Phone: (626) 966-1776
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | MFC42519 | California |
Profile Details
| NPI number | 1407895626 |
|---|---|
| LBN Legal business name | Park, Seon Ji |
| Credentials | MFC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2006 |
| Last updated | May 3rd, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407895626 | NPPES |
| California | MEDICAID | 7068 | |
| California | MEDICAID | 6758 | |
| California | MEDICAID | 7420 |
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