Park, Shawn Seung Dae
Park, Shawn Seung Dae is an individual health care provider with primary practice located at 101 Bodin Cir , Fairfield CA 94535-1809. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Military Health Care Provider, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Park, Shawn Seung Dae can be contacted via phone (707) 423-3792.Contact Information
Primary practice address
101 Bodin Cir
Fairfield CA 94535-1809
Phone: (707) 423-3792
Fax: (707) 423-3501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Military Health Care Provider | 171000000X | ||
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 01097499A | Indiana |
Profile Details
| NPI number | 1538864335 |
|---|---|
| LBN Legal business name | Park, Shawn Seung Dae |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2023 |
| Last updated | Aug 13th, 2025 - about last year |
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.
Popular Providers
-
Gallo, Samuel J
101 Bodin Cir , Fairfield CA 94535-1809 -
Maharaj, Deepak P
101 Bodin Cir , Fairfield CA 94535-1809 -
Chew, Kenneth B
500 Walnut Dr , Fairfield CA 94534-1554 -
Sharp, Alec Jo Willis
101 Bodin Cir , Fairfield CA 94535-1809 -
Liu, Jennifer Juo Tzu
1700 Pennsylvania Ave Ste A, Fairfield CA 94533-3588 -
Freeny, Ingrid C.
2720 Low Court , Fairfield CA 94534 -
Swinton, Mary
101 Bodin Cir , Fairfield CA 94535-1809 -
Van Weezep, Jake Daniel
101 Bodin Cir , Fairfield CA 94535-1809