Individual
DR. DAVID RAE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1661 GOLDEN RAIN RD, SEAL BEACH, CA 90740-4907
(562) 493-9581
(562) 795-6389
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G155980
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270681400
—
FL
01
—
48609
BCBS
FL
01
—
P00223219
RAILROAD MEDICARE
—
Enumeration date
06/05/2006
Last updated
11/24/2025
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