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Individual

YONG JOON CALEB PARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
211 IMPERIAL HWY STE 102, FULLERTON, CA 92835-1047
(562) 900-6193
Mailing address
5620 DE LONGPRE AVE APT 835, LOS ANGELES, CA 90028-8750
(562) 900-6193

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT154900
CA
247200000X
Other Technician
Primary

Other

Enumeration date
01/23/2018
Last updated
03/06/2026
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