DR. John Park, PHD

NPI #1750632501 in Diamond Bar, California

Provider Information

NPI Number: 1750632501
Entity Type: Individual
Name: DR. John Park, PHD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Credential: PHD
Enumeration Date: Sep 19, 2012
Last Updated: Jul 27, 2018

Practice Location

Address: 1370 VALLEY VISTA DR STE 200
City: Diamond Bar
State: California
ZIP Code: 91765
Phone: (909) 274-9119

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X
Student in an Organized Health Care Education/Training Program	390200000X
Psychologist - Clinical — Clinical	103TC0700X	Primary

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