SHAWN SEUNG DAE PARK MD NPI 1538864335

NPI Information

  • NPI: 1538864335
  • Provider Name: SHAWN SEUNG DAE PARK, MD
  • Classification: Military Health Care Provider - 171000000X
  • Entity Type: Individual
  • Address: 1000 ALLISON DR APT 148
    VACAVILLE, CA
    ZIP 95687
  • Phone: (714) 795-9059

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NPI Details

Shawn Seung Dae Park, MD is a military health care provider in Vacaville, CA. The provider is active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. Shawn Seung Dae Park, MD NPI is 1538864335. 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:

1000 ALLISON DR APT 148
VACAVILLE, CA
ZIP 95687-986
Phone: (714) 795-9059

The enumeration date for this NPI number is 4/3/2023 and was last updated on 6/25/2024.

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
1171000000XMilitary Health Care ProviderYes

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: 3/30/2025

NPI Synchronization or Removal

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