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Search › California › 208D00000X

Shawn Park, MD

NPI 1538864335 · on the registry since 2023

Practice

Address
101 Bodin Cir
Fairfield, CA 94535
Phone
(707) 423-3792
Fax
(707) 423-3501
Organisation at this address
Usaf
United States Air Force
United States Air Force
Inferred from a shared address, not stated in the registry.
Clinicians at this address
142

Registry record

Primary taxonomy
208D00000X
208D00000X
Also registered as
171000000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-08-13

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