DR. Mijin Park, PSYD

NPI #1104380153 in Laguna Hills, California

Provider Information

NPI Number: 1104380153
Entity Type: Individual
Name: DR. Mijin Park, PSYD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PSYD
Enumeration Date: Jan 24, 2019
Last Updated: Jan 24, 2019

Practice Location

Address: 23141 MOULTON PKWY STE 213
City: Laguna Hills
State: California
ZIP Code: 92653-1204
Phone: (949) 258-3741

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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