Park, Chan M

Park, Chan M is an individual health care provider with primary practice located at 3460 E La Palma Ave Ste 202 , Anaheim CA 92806-2020. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Park, Chan M can be contacted via phone (833) 574-2273.

Contact Information

Primary practice address
3460 E La Palma Ave Ste 202 Anaheim CA 92806-2020
Phone: (833) 574-2273
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X A109104 California

Profile Details

NPI number 1871617027
LBN Legal business name Park, Chan M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2007
Last updated Jul 25th, 2022 - about 3 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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