IndividualActive
John Park, PHD
NPI 1750632501 · Clinical Psychologist · Diamond Bar, CA
Provider details
- NPI number
- 1750632501
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 30065 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Student, Health Care
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1370 Valley Vista Dr Ste 200
Diamond Bar, CA 91765
Phone: (909) 274-9119
Street-level locationGet directions
Mailing address
1317 S Diamond Bar Blvd Unit 4233
Diamond Bar, CA 91765-5610
Additional practice locations (2)
- 24920 Mound StLoma Linda, CA 92350-0001Phone: (909) 651-2257Fax: (909) 651-2257
- 10470 Foothill BlvdRancho Cucamonga, CA 91730-3754Phone: (909) 274-9119
Registry dates
- Enumerated
- 2012-09-19
- Last updated
- 2018-07-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.