# THOMAS C. PARK, M.D., CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912035973
- **Authorized official:** THOMAS C PARK MD (OWNER)
- **Authorized official phone:** (916) 929-6705

## Contact information

- **Practice address:** 500 UNIVERSITY AVE, SUITE 260, SACRAMENTO, CA 95825-6504
- **Practice address phone:** (916) 929-6705
- **Practice address fax:** (916) 929-6641
- **Mailing address:** PO BOX 4357, DAVIS, CA 95617-4357
- **Mailing address phone:** (916) 929-6705
- **Mailing address fax:** (916) 929-6641

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | G681040 | CA | Yes |

## Other

- **Enumeration date:** 03/01/2007
- **Last updated:** 08/22/2020