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

Grace Park

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1639707573

Grace Park is a Physical Medicine and Rehabilitation in Whittier, California. Qualified in 2020, 6 years ago. Practices with PIH Health Physicians, a 614-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

12401 Washington Blvd
Whittier, CA 90602-1006
Phone: (562) 698-0811
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 1639707573 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1639707573
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 27, 2020
Last updated in NPPESJune 27, 2024
Certification dateJune 27, 2024
Mailing address1912 S Jacaranda St Unit 417, Anaheim, CA 92805-8744

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Pih Health Physicians — 614 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Whittier