Individual
SAMUEL WAN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
26730 CROWN VALLEY PKWY, SUITE 200, MISSION VIEJO, CA 92691
(949) 364-2154
(949) 496-8872
Mailing address
26730 CROWN VALLEY PKWY, SUITE 200, MISSION VIEJO, CA 92691-6364
(949) 364-2154
(949) 496-8872
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A96320
CA
Other
Enumeration date
06/13/2007
Last updated
02/17/2020
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