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

Samuel Park, PHD

Individual provider Psychologist · NPI 1578738522

Samuel Park, PHD is a Psychologist in LA Jolla, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2008
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

9500 Gilman Drive Mc 0304
LA Jolla, CA 92093-0304
Phone: (858) 534-3755
Fax: (858) 534-2628
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PSY16648 (CA)
Counseling Psychologist Taxonomy 103TC1900X · Licence PSY16648 (CA)

Record details

NPI number1578738522
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedApril 29, 2008
Last updated in NPPESApril 29, 2008
Mailing address9500 Gilman Drive, Mc 0304, La Jolla, CA 92093-0304

Other providers in LA Jolla