Park, Samuel Ryan

Park, Samuel Ryan is an individual health care provider with primary practice located at 22 Odyssey Ste 155 , Irvine CA 92618-3194. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Park, Samuel Ryan can be contacted via phone (949) 207-7650.

Contact Information

Primary practice address
22 Odyssey Ste 155 Irvine CA 92618-3194
Phone: (949) 207-7650
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X A75650 California
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X A75650 California

Profile Details

NPI number 1023174752
LBN Legal business name Park, Samuel Ryan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2006
Last updated Dec 30th, 2012 - about 12 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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