# SAMUEL PARK MD A MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Odyssey Pain Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528314515
- **Authorized official:** SAMUEL RYAN PARK MD (PRESIDENT)
- **Authorized official phone:** (949) 207-7650

## Contact information

- **Practice address:** 22 ODYSSEY STE 155, IRVINE, CA 92618-3194
- **Practice address phone:** (949) 207-7650
- **Mailing address:** 22 ODYSSEY STE 155, IRVINE, CA 92618-3194

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | A75650 | CA | Yes |

## Other

- **Enumeration date:** 07/27/2012
- **Last updated:** 12/30/2012