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

Mr. Andrew Park

Individual provider Marriage & Family Therapist · NPI 1124489836

Mr. Andrew Park is a Marriage and Family Therapist in Santa Ana, California. Qualified in 2014, 12 years ago. Licensed in California.

Years since qualifying
12
Licensed in
CA
In the registry since
2016

Practice location Address checks out

1910 N Bush St
Santa Ana, CA 92706-2816
Phone: (714) 361-7950
Fax: (714) 361-7966
Show map & directions

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

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence LMFT90876 (CA)

Record details

NPI number1124489836
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 9, 2016
Last updated in NPPESMarch 9, 2016

Medicare enrollment

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

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated

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