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
Fax: (714) 534-3352
Website:

Health care specialties

SpecialtyCodeLicense #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 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1952359002 NPPES
California MEDICAID 00A321220

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