Park, Samuel

Park, Samuel is an individual health care provider with primary practice located at 2448 Historic Decatur Rd Ste 130 , San Diego CA 92106-6127. He recently has only one registered license in Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, which is considered as his primary health care specialty. Park, Samuel can be contacted via phone (619) 398-2960.

Contact Information

Primary practice address
2448 Historic Decatur Rd Ste 130 San Diego CA 92106-6127
Phone: (619) 398-2960
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X A127125 California

Profile Details

NPI number 1922363183
LBN Legal business name Park, Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2012
Last updated Feb 14th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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