DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MINA PARK, AGNP-C

Active

MINA PARK, AGNP-C is a Nurse Practitioner healthcare provider located in LOS ANGELES, California. NPI 1417312406 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · LOS ANGELES, CA

Registration Details

NPI Number
1417312406
Provider Type
Individual
Gender
Female
NPI Issued
Dec 18, 2015 (10.617894595649 yrs)
Last Updated
Dec 18, 2015
Licenses
95002208 (CA)
95002208 (CA)

Practice Information

Address
8650 BELFORD AVE APT 225
LOS ANGELES, CA, 900454553
Browse CA providers · Browse ZIP 90045
Phone
8189875088
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Gerontological Nurse

Other Nurse Practitioner Providers in LOS ANGELES, CA

Name Credential NPI
CHIUSHEUE SHERRY PENG NURSE PRACTITIONER 1801898713
VILAYPHONE THONGSITHAVONG HWANG PNP 1629060157
ANN CHRISTINE EASLEY NP 1295720548
JULIE STELLER NP-C 1144209362
STACEY D GREEN NP 1053374397
MS. EMILY HELEN CALDWELL N.P. 1487619763
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.