Individual
THOMAS CHIN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2725 CAPITOL AVE, SUITE 402, SACRAMENTO, CA 95816-6004
(916) 262-9400
(916) 262-9399
Mailing address
10470 OLD PLACERVILLE RD, SUITE100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
G68104
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G681041
—
CA
01
—
770003054
RAILROAD MEDICARE
CA
Enumeration date
09/22/2006
Last updated
05/18/2015
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