Park, Shin Kwan

Park, Shin Kwan is an individual health care provider with primary practice located at 652 Forest Ave La Selva, Palo Alto CA 94301-2622. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Park, Shin Kwan can be contacted via phone (650) 323-1401.

Contact Information

Primary practice address
652 Forest Ave La Selva Palo Alto CA 94301-2622
Phone: (650) 323-1401
Fax: (650) 323-1720
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1144340639
LBN Legal business name Park, Shin Kwan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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