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Dr. Mijin Park, PSYD

Psychologist in Laguna Hills, CA · enumerated 2019 · practices at Keeban Nam, M.D., Inc..

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104380153

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Registry record

Entity type Individual (Type 1)
Name Dr. Mijin Park
Credential PSYD
Sex Female
Practice address Laguna Hills, CA, 92653
Phone (949) 258-3741
Fax (949) 258-3742
Enumeration date Jan 24, 2019
Last updated in NPPES Jan 24, 2019

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

103T00000X Psychologist Behavioral Health & Social Service Providers · License PSY30569 (CA) Primary
PSYD · Doctor of Psychology: A clinical doctorate in psychology focused on professional practice. About the PSYD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Mijin Park practice?
The practice location on file with NPPES is in Laguna Hills, CA. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Mijin Park?
The National Provider Identifier (NPI) for Mijin Park is 1104380153, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-01-24.