Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Henna Shim Park, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1962039941

Dr. Henna Shim Park, DO is a Student in an Organized Health Care Education/Training Program in Carlsbad, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2176 Salk Ave Ste 200
Carlsbad, CA 92008-7346
Phone: (760) 827-7400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 20A21399 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1962039941
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 27, 2020
Last updated in NPPESJuly 24, 2023
Certification dateJuly 14, 2023
Mailing address10790 Rancho Bernardo Rd, San Diego, CA 92127-5705

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