Peter Sang-Wook Park in Fullerton - Podiatrist
Peter Sang-Wook Park - NPI 1104825033
Peter Sang-Wook Park is a Podiatrist in Fullerton, California. Peter Sang-Wook Park practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Peter Sang-Wook Park is 1104825033. The last update date is 2020-09-29.
Peter Sang-Wook Park's current location address is 1417 Stein Strauss St, Fullerton, California. You can contact this provider via phone number 7147973668. The mailing address for Peter Sang-Wook Park is 1417 Stein Strauss St, Fullerton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peter Sang-Wook Park |
|---|---|
| Address | 1417 Stein Strauss St, Fullerton, California |
| Phone Number | 7147973668 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1104825033 |
|---|---|
| Provider Enumeration Date | 2005-07-21 |
| Last Updated Date | 2020-09-29 |
Provider Mailing Address Detail
| Address | 1417 Stein Strauss St |
|---|---|
| City | Fullerton |
| State | California (CA) |
| Post Code | 928332159 |
| Phone Number | 7147973668 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | E4031 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00E40310 | CA | MEDI CAL | |
| 1104825033 | CA | NPI | |
| CE813A | CA | MEDICARE PTAN |
Post Comment/ Review Below
What is the Peter Sang-Wook Park's 1104825033?
The Peter Sang-Wook Park's NPI (National Provider Identifier) Number is 1104825033. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Peter Sang-Wook Park located?
The Peter Sang-Wook Park is located at 1417 Stein Strauss St, Fullerton, CA 928332159.
What is Peter Sang-Wook Park's specialized field of practice, and what is the corresponding taxonomy classification code?
The Peter Sang-Wook Park's area of specialization is Podiatrist, and the corresponding taxonomy code that categorizes this field of practice is 213E00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1104825033 to Peter Sang-Wook Park?
The Centers for Medicare & Medicaid Services assigned the 1104825033 to Peter Sang-Wook Park on 2005-07-21.
When was the information regarding Peter Sang-Wook Park, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Peter Sang-Wook Park, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-09-29.