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MR. CHE SONG PARK M.D. NPI 1316058076


NPI Information

NPI: 1316058076
Provider Name: MR. CHE SONG PARK, M.D.,
Classification: Legal Medicine - 173000000X
Entity Type: Individual
Address:
3500 BARRANCA PKWY
SUITE 330
IRVINE, CA
ZIP 92606
Phone: (949) 552-8217
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MR. Che Song Park, M.D., is a legal medicine in Irvine, CA. The provider is the specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. MR. Che Song Park, M.D., NPI is 1316058076. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3500 BARRANCA PKWY
SUITE 330
IRVINE, CA
ZIP 92606-226
Phone: (949) 552-8217
Fax: (949) 809-9514

The enumeration date for this NPI number is 8/31/2006 and was last updated on 2/24/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1173000000XLegal Medicine4301031253MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A76703MEDICARE UPINMICHIGAN
22898621OTHERMICHIGANHEALTHPLUS
30N40210MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
4280739862OTHERMICHIGANBLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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