Park, Sung
Park, Sung is an individual health care provider with primary practice located at 6283 Clark Rd Ste 5, Paradise CA 95969-4100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Park, Sung can be contacted via phone (530) 877-5083.Contact Information
Primary practice address
6283 Clark Rd Ste 5
Paradise CA 95969-4100
Phone: (530) 877-5083
Fax: (530) 877-5085
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | A62508 | California |
Profile Details
| NPI number | 1396741518 |
|---|---|
| LBN Legal business name | Park, Sung |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Dec 2nd, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396741518 | NPPES |
| California | MEDICAID | 00A625080 | |
| California | Other | P00170570 |
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