Mary Kieun Park, - Psychologist in Santa Ana, CA

Mary Kieun Park, is a Psychologist based in Santa Ana, California. Mary Kieun Park is licensed to practice in * (Not Available) (license number ) and her current practice location is 200 W Santa Ana Blvd Ste 801, Santa Ana, California. She can be reached at her office (for appointments etc.) via phone at (714) 704-5900.

NPI number for Mary Kieun Park is 1033766514 and her current mailing address is 4199 Campus Dr, Irvine, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033766514.

Contact Information

Mary Kieun Park,
200 W Santa Ana Blvd Ste 801,
Santa Ana, CA 92701-4134
(714) 704-5900
Not Available



Healthcare Provider's Profile

Full NameMary Kieun Park
GenderFemale
SpecialityPsychologist
Location200 W Santa Ana Blvd Ste 801, Santa Ana, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1033766514
  • Provider Enumeration Date: 08/20/2019
  • Last Update Date: 08/20/2019

Medical Identifiers

Medical identifiers for Mary Kieun Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033766514NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary Kieun Park is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mary Kieun Park,
4199 Campus Dr,
Irvine, CA 92612-4684

Ph: (949) 737-5460
Mary Kieun Park,
200 W Santa Ana Blvd Ste 801,
Santa Ana, CA 92701-4134

Ph: (714) 704-5900

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› Verified 3 days ago


Psychologist in Santa Ana, CA

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