Individual
DR. SAMUEL PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2448 HISTORIC DECATUR RD STE 130, SAN DIEGO, CA 92106-6127
(619) 398-2960
Mailing address
2448 HISTORIC DECATUR RD, STE 130, SAN DIEGO, CA 92106-6127
(619) 398-2960
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
A127125
CA
Other
Enumeration date
07/12/2012
Last updated
02/14/2019
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