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

Judy Jooeun Park

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1336978170

Judy Jooeun Park is a Nurse Practitioner in San Diego, California. Qualified in 2024, 2 years ago. Practices with Community Research Foundation Inc, a 64-clinician group, works from 6 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2024
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Practice location Address checks out

200 W Arbor Dr
San Diego, CA 92103-9000
Phone: (800) 926-8273
Fax: (888) 539-8781
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 1509 Wilson Ter, Glendale, CA 91206-4007 — (818) 409-8063
  • 350 Dickinson St, San Diego, CA 92103-1913 — (800) 926-8273
  • 6655 Alvarado Rd, San Diego, CA 92120-5208 — (800) 926-8273
  • 6645 Alvarado Rd, San Diego, CA 92120-5208 — (800) 926-8273
  • 6363 Greenwich Dr, San Diego, CA 92122-5947 — (800) 926-8273

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95030661 (CA)

Record details

NPI number1336978170
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 30, 2024
Last updated in NPPESSeptember 25, 2024
Certification dateSeptember 25, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Community Research Foundation Inc — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in San Diego