Individual
DR. SHAWN SEUNG DAE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 BODIN CIR, FAIRFIELD, CA 94535-1809
(707) 423-3792
(707) 423-3501
Mailing address
101 BODIN CIR, FAIRFIELD, CA 94535-1809
(707) 423-3792
(707) 423-3501
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
208D00000X
General Practice Physician
Primary
01097499A
IN
Other
Enumeration date
04/03/2023
Last updated
08/13/2025
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