Angela Park

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

159514 Issued in CA

Practice address

324 S Diamond Bar Blvd # 1001
Diamond Bar, CA 91765-1607

Phone

(626) 424-3667

NPI assigned

Apr 28, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Through the Sea Marriage and Family Counseling Inc

  • Marriage & Family Therapist
  • West Covina, CA
  • NPI 1093281990
  Medicare reassignment
• Allyson Wells MD Inc

  • Child & Adolescent Psychiatry Physician
  • Long Beach, CA
  • NPI 1770181257
  NPD (past)
• Childnet Youth and Family Services Inc

  • Community/Behavioral Health Agency
  • Long Beach, CA
  • NPI 1760519219
  NPD (past)
• Union of Pan Asian Communities

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1861606956
  NPD (past)

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

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765584000000",
    "number": "1104447341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 S DIAMOND BAR BLVD # 1001",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 S DIAMOND BAR BLVD # 1001",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651607",
            "telephone_number": "626-424-3667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "ANGELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-28",
        "last_updated": "2025-12-13",
        "certification_date": "2025-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "159514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jongson Pak, DDS GENERAL DENTISTR
• Jieru Pan, DDS
• Yann Ping Pan, MD
• Parvita Paresh Panchal, DO
• Lucas Ivan Paredes, D.C
• Grace Park, D.C.
• Hee Bang Park, ACUPUNCTURIST
• John Park, PHD
• Jong Ho Park, LAC.
• Ritchie Park, D.D.S.

• Marriage & Family Therapist in Diamond Bar, CA
• Providers in Diamond Bar, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.