Park, Samuel Wan
Park, Samuel Wan is an individual health care provider with primary practice located at 26730 Crown Valley Pkwy Suite 200, Mission Viejo CA 92691. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Park, Samuel Wan can be contacted via phone (949) 364-2154.Contact Information
Primary practice address
26730 Crown Valley Pkwy Suite 200
Mission Viejo CA 92691
Phone: (949) 364-2154
Fax: (949) 496-8872
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | A96320 | California |
Profile Details
| NPI number | 1710181854 |
|---|---|
| LBN Legal business name | Park, Samuel Wan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2007 |
| Last updated | Feb 17th, 2020 - about 4 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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