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General NPI Number Information
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NPI Number | 1679097166
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Entity Type | Individual
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Provider Name | HYEHYUN J PARK LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/27/2017
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | 7212 ORANGETHORPE AVE STE 9A
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City | BUENA PARK
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State | CA
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Zip | 90621-4668
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Country | US
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Telephone | 213-503-6550
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Fax |
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Provider Business Mailing Address
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Address Line | 733 S MANHATTAN PL UNIT 405
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City | LOS ANGELES
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State | CA
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Zip | 90005-5102
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Country | US
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Telephone | 714-833-2085
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 90337
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License Number State | CA
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