Individual provider Active NPI

Euna Lim Park

  • Clinical Social Worker
  • Buena Park, CA
National Provider Identifier
1285281337
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
127771 Issued in CA
Practice address
7212 Orangethorpe Ave Ste 9a
Buena Park, CA 90621-4668
Phone
(714) 503-6550
Fax
(714) 509-0886
NPI assigned
Aug 22, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 111411 CA
Clinical Social Worker 1041C0700X 127771 CA Primary

Addresses

Primary practice location

7212 Orangethorpe Ave Ste 9a
Buena Park, CA 90621-4668

Mailing address

2687 E Pacific CT
Brea, CA 92821-9104
Phone (714) 865-9288

Other practice location 1

13091 Galway St
Garden Grove, CA 92844-1633
Phone (714) 539-4544

Other names 1

  • Eun a Lim Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250410002919 CA Practitioner - Clinical Social Worker 9537683560 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jona Licensed Clinical Social Worker PCGroup PAC ID 8628592656, 3 clinicians

Practice addresses (Care Compare)

2687 E Pacific CT
Brea, CA 92821-9104
Phone (714) 519-4578

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
127771CAMDClinical Social Worker
111411CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jona Licensed Clinical Social Worker PC Mental Health CurrentSince Feb 4, 2025 Accepting new patients
Orange County Asian & Pacific Islander Community Alliance CurrentSince Apr 1, 2023 Accepting new patients
KCS, Inc. PastSince Mar 1, 2021 Accepting new patients

Locations

330 E Lambert Rd
Ste 278C
Brea, CA 92821
Phone (657) 229-2209

7212 Orangethorpe Ave
Ste 8
Buena Park, CA 90621
Phone (714) 345-2998

13091 Galway St
Garden Grove, CA 92844
Phone (714) 539-4544

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1285281337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2687 E PACIFIC CT",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928219104",
            "telephone_number": "714-865-9288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7212 ORANGETHORPE AVE STE 9A",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906214668",
            "telephone_number": "714-503-6550",
            "fax_number": "714-509-0886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13091 Galway St",
            "address_purpose": "LOCATION",
            "city": "Garden Grove",
            "state": "CA",
            "postal_code": "928441633",
            "country_code": "US",
            "telephone_number": "714-539-4544",
            "fax_number": "714-893-8625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK",
        "first_name": "EUNA",
        "middle_name": "LIM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-22",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "111411",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "127771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EUN A",
            "last_name": "LIM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Buena Park, CA

Sources for this page

Verify at the official NPI Registry.