Soo Min Park is a Clinical in Los Angeles, California. Soo Min Park practices all healthcare services and medical treatments related to Clinical. The NPI Number for Soo Min Park is 1376669812. The last update date is 2021-03-22.
Soo Min Park's current location address is 550 S Vermont Ave, Los Angeles, California. You can contact this provider via phone number 2136396777. The mailing address for Soo Min Park is 550 S Vermont Ave, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Soo Min Park |
|---|---|
| Address | 550 S Vermont Ave, Los Angeles, California |
| Phone Number | 2136396777 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1376669812 |
|---|---|
| Provider Enumeration Date | 2007-03-22 |
| Last Updated Date | 2021-03-22 |
Provider Mailing Address Detail
| Address | 550 S Vermont Ave |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900201912 |
| Phone Number | 2136396777 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCSW65000 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique 10-digit identifier code assigned to Soo Min Park by the Centers for Medicare & Medicaid Services?
The Soo Min Park has been issued the NPI (National Provider Identifier) 1376669812 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Soo Min Park's physical address?
The Soo Min Park is physically located at 550 S Vermont Ave, in the city of Los Angeles, CA, with the postal code 900201912.
What is Soo Min Park's specialized field of practice, and what is the corresponding taxonomy classification code?
The Soo Min Park's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
When did Soo Min Park receive its 1376669812 assignment?
The Soo Min Park was assigned its 1376669812 on 2007-03-22, which is the date when this unique identifier was issued to the organization.
When was the Soo Min Park's information last updated?
The Soo Min Park's information was last updated on 2021-03-22.