Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Jeong Won Park

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1780594986

Jeong Won Park is a Psychiatric/Mental Health Registered Nurse in Palo Alto, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

4139 El Camino Way
Palo Alto, CA 94306-4010
Phone: (650) 999-7069
Fax: (408) 642-6052
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0808X · Licence 95385796 (CA)

Record details

NPI number1780594986
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 9, 2026
Last updated in NPPESSeptember 9, 2026
Certification dateSeptember 9, 2026

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