Elimsol Mental Health, a Nursing P.C.

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

ELIMSOL MENTAL HEALTH, A NURSING P.C.

Practice address

903 Crenshaw Blvd Ste 304
Los Angeles, CA 90019-1967

Phone

(424) 433-3389

Fax

(424) 550-3267

NPI assigned

Aug 12, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sally Park, NP

Title

Owner

Phone

(424) 433-3389

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1786492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786492800000",
    "number": "1013832476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 CRENSHAW BLVD STE 304",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900191967",
            "telephone_number": "424-433-3389",
            "fax_number": "424-550-3267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 CRENSHAW BLVD STE 304",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900191967",
            "telephone_number": "424-433-3389",
            "fax_number": "424-550-3267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIMSOL MENTAL HEALTH, A NURSING P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-12",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "SALLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "424-433-3389",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.