Individual
DR. YONG SUE PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1913 WILSHIRE BLVD, LOS ANGELES, CA 90057-3604
(310) 266-1026
Mailing address
1913 WILSHIRE BLVD, LOS ANGELES, CA 90057-3604
(310) 266-1026
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
24913
CA
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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