Search › California › 1223S0112X
Derek Park, M.D., D.D.S
NPI 1770826406 · on the registry since 2013 · sole proprietor
Practice
- Address
- 581 Foster City Blvd
Foster City, CA 94404 - Phone
- (650) 286-9999
- Organisation at this address
- Polly Chan Dds Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 18
Additional practice sites
- 2118 Mckee Rd, San Jose, CA
- 1200 Scott Blvd Ste 1, Santa Clara, CA
Registry record
- Primary taxonomy
- 1223S0112X
1223S0112X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-01-03
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