Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KYUNG SOO PARK
ActiveKYUNG SOO PARK is a Social Worker healthcare provider located in STOCKTON, California. NPI 1013493436 is currently active in the NPPES registry. Verify at CMS.
Social Worker · STOCKTON, CA
Registration Details
- NPI Number
- 1013493436
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 18, 2018 (8.062459464262 yrs)
- Last Updated
- Oct 14, 2020
- License
-
ASW95613 (CA)
Practice Information
- Address
-
1212 N CALIFORNIA STSTOCKTON, CA, 952021552Browse CA providers · Browse ZIP 95202
- Phone
- 7072992101
- Primary Specialty
-
Social Worker
104100000X
Other Social Worker Providers in STOCKTON, CA
| Name | Credential | NPI |
|---|---|---|
| MISS SIDAPHONE ANNA PHOVIXAY | ASW61745 | 1083747562 |
| MRS. LUCIA NELSON | — | 1417072000 |
| MS. SUSAN MARIE GRUBER | MSW | 1811014780 |
| MRS. REINA MARY HUDSON | LCSW | 1164540746 |
| MISS MONICA NOU | — | 1487772745 |
| MR. DARRELL BRENT JOHNSON SR. | MSW | 1578681334 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.