Se J Park is a Irvine, California based nurse practitioner with 9 years of experience in . He completed his graduation in 2016. and . He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Se J Park is 95023379 for Gerontology in California. His current practice location is 1000 Fivepoint, Irvine. Patients can reach him at 800-826-4673. Se J Park is NP-C, DNP and his NPI number (Unique professional ID assigned by NPPES) is 1871031518. Se J Park has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Se J Park speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
3971887472
Enrollment ID:
I20170301000739
NPI Number:
1871031518
NPI Enumeration Date:
02 Feb, 2017
NPI Last Update On:
27 Aug, 2025
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Se J Park are as mentioned below.
License Number
Specialization
State
Status
95023379
Gerontology
California
Primary
95023379
Nurse Practitioner
California
Secondary
RN243386
Nurse Practitioner
Georgia
Secondary
RN243386
Gerontology
Georgia
Secondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(110198)
Roswell, GA
Acute Care Hospital
(110035)
Marietta, GA
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Se J Park is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Wellstar Medical Group, Llc (6709065402)
1658
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Se J Park Po Box 512185, Los Angeles, California
Zip:
90051-0185
Patients can reach Se J Park at 1000 Fivepoint, Irvine, California or can call to book an appointment on 800-826-4673.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.