Individual
SAMUEL RYAN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-8888
Mailing address
22 ODYSSEY STE 155, IRVINE, CA 92618-3194
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A75650
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
A75650
CA
Other
Enumeration date
12/28/2006
Last updated
06/16/2025
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