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Search › California › 207Q00000X

Chan Park, M.D

NPI 1255336665 · on the registry since 2005

Practice

Address
565 Kern St
Shafter, CA 93263
Phone
(661) 746-4937
Organisation at this address
Jae J. Kim, M.D.
Vanguard Medical Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-05-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California