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

Mina Park, AGNP-C

Individual provider Nurse Practitioner · NPI 1417312406

Mina Park, AGNP-C is a Nurse Practitioner in Los Angeles, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015
Specialties on file
2

Practice location Address checks out

8650 Belford Ave Apt 225
Los Angeles, CA 90045-4553
Phone: (818) 987-5088
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95002208 (CA)
Gerontology Registered Nurse Taxonomy 163WG0600X · Licence 95002208 (CA)

Record details

NPI number1417312406
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-C
Sole proprietorNo
NPI enumeratedDecember 18, 2015
Last updated in NPPESDecember 18, 2015

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