Search › California › 2083P0901X
Samuel Park, M.D
NPI 1922363183 · on the registry since 2012
Practice
- Address
- 2448 Historic Decatur Rd Ste 130
San Diego, CA 92106 - Phone
- (619) 398-2960
- Organisation at this address
- Lee Rice D.O. Medical Corporation
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 2083P0901X
2083P0901X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-02-14
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