Individual
SALLY PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1650 E 4TH ST STE 101, SANTA ANA, CA 92701-5159
(714) 525-8509
Mailing address
1650 E 4TH ST STE 101, SANTA ANA, CA 92701-5159
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
95017023
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95017023
CA
Other
Enumeration date
07/08/2021
Last updated
04/13/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us