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

Siyeon Park

Individual provider Clinical Social Worker · NPI 1306625454

Siyeon Park is a Clinical Social Worker in Los Angeles, California. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2

Practice location Address checks out

11301 Wilshire Blvd
Los Angeles, CA 90073-1003
Phone: (310) 478-3711
Show map & directions

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

Specialties & licences

Social Worker (primary) Taxonomy 104100000X
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1306625454
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 27, 2023
Last updated in NPPESSeptember 27, 2023
Certification dateSeptember 27, 2023

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