MI N PARK – Psychologist, NPI 1013140268

MI N PARK is a healthcare provider. based in Los angeles, California. specializing in Psychologist. They hold a License No. PSY27071 (CA). The NPI Number for MI N PARK is 1013140268

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
MI N PARK
NPI
1013140268
Phone
(310) 794-4008
Address
300 MEDICAL PLZ STE 1253
Enumeration Date
3 September 2009
Last Update Date
31 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4154767000
Graduation Year
2012 (14 years ago)
PAC ID
3870814163
Group Practice PAC ID
4981680832
Professional Enrollment ID
I20150611003195
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:16State licenses:1Digital endpointsOther names

Provider Addresses for MI N PARK

  • 300 MEDICAL PLZ STE 1253

    LOS ANGELES, CA 900956967

    Phone: (310) 794-4008

    Type: Mailing

  • 1777 BOREL PL STE 210

    SAN MATEO, CA 944023511

    Phone: (415) 320-1864

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90095)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4981680832View full group profile

Reviews

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Frequently asked questions

Is there an official ID for MI N PARK in U.S. healthcare records?
The official identifier for MI N PARK is NPI 1013140268.
Is MI N PARK still an active registrant?
MI N PARK carries an active NPI according to the public dataset.
What clinical focus is listed for MI N PARK?
At a glance, MI N PARK is tied to Psychologist. Clinical services aligned with this taxonomy classification.
What locale is associated with MI N PARK?
Directory geography for MI N PARK centers on Los Angeles, California.
Does MI N PARK accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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