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

Jeesoon Park

Individual provider Psychiatry Physician · NPI 1740864370

Jeesoon Park is a Psychiatry Physician in Hawthorne, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

13300 Hawthorne Blvd
Hawthorne, CA 90250-5805
Phone: (424) 365-3031
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0808X · Licence 532285 (CA)
Psychiatry Physician Taxonomy 2084P0800X · Licence 95028679 (CA)

Record details

NPI number1740864370
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 10, 2021
Last updated in NPPESJanuary 27, 2024
Certification dateJanuary 27, 2024
Mailing address12152 Napoli Dr, Cerritos, CA 90703-2773

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