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Seon Ji Park

Marriage and Family Therapist · Santa Clara

NPI 1407895626

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Office
1
Since medical school
24 years
Graduated 2002

Offices

1 location · Sud Specialty Group - CA · 519 clinicians in this group

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Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Seon Ji Park’s office at (323) 968-6182 to ask if they take your plan before you enroll.

Professional record

NPI
1407895626
Licence
CA MFC42519
Video visits
Lists video visits
Gender
Female
More record details
Sole proprietor
No
Medicaid ID
CA 6758, CA 7068, CA 7420
Taxonomy
Federal specialty code 106H00000X (106H00000X)
Mailing address
12450 Van Nuys Blvd Ste 200, Pacoima, CA, 91331
NPI first listed
2006-06-05
NPI last updated
2023-05-03
NPI record certified
2023-05-03

This is when the NPI record was last certified, not a medical board exam.