Park, Stephen S
Park, Stephen S is an individual health care provider with primary practice located at 11039 Acacia Pkwy , Garden Grove CA 92840. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Park, Stephen S can be contacted via phone (714) 534-3366.Contact Information
Primary practice address
11039 Acacia Pkwy
Garden Grove CA 92840
Phone: (714) 534-3366
Fax: (714) 534-3352
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A32122 | California |
Profile Details
| NPI number | 1952359002 |
|---|---|
| LBN Legal business name | Park, Stephen S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Jul 13th, 2026 - about 4 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952359002 | NPPES |
| California | MEDICAID | 00A321220 |
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