SAMUEL RYAN PARK INC NPI 1184025025

NPI Information

  • NPI: 1184025025
  • Provider Name: SAMUEL RYAN PARK, INC
  • Classification: Pain Medicine - 208VP0014X
  • Specialization: Interventional Pain Medicine
  • Entity Type: Organization
  • Address: 22 ODYSSEY STE 155
    IRVINE, CA
    ZIP 92618
  • Phone: (949) 207-7650

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NPI Details

SAMUEL RYAN PARK, INC is an interventional pain medicine pain medicine in Irvine, CA. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. SAMUEL RYAN PARK, INC NPI is 1184025025. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

22 ODYSSEY STE 155
IRVINE, CA
ZIP 92618-194
Phone: (949) 207-7650
Fax: (949) 625-6135

The provider's authorized official is Samuel Ryan Park .
The authorized official title is Ceo and has the following contact phone number (949) 207-7650.

The enumeration date for this NPI number is 9/10/2014 and was last updated on 9/10/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207L00000XAnesthesiologyA75650CALIFORNIANo
2208VP0014XPain MedicineInterventional Pain MedicineA75650CALIFORNIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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