SUNG PARK M.D. INC. NPI 1548229883

NPI Information

NPI: 1548229883
Provider Name: SUNG PARK, M.D., INC.
Classification: Clinic/Center - 261QP2300X
Specialization: Primary Care
Entity Type: Organization
Address: 6283 CLARK RD STE 5
PARADISE, CA
ZIP 95969
Phone: (530) 877-5083

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NPI Details

SUNG PARK, M.D., INC. is a primary care clinic center in Paradise, CA. SUNG PARK, M.D., INC. NPI is 1548229883. The provider is registered as an organization entity type.

The provider's business location address is:

6283 CLARK RD STE 5
PARADISE, CA
ZIP 95969-100
Phone: (530) 877-5083
Fax: (530) 877-5085

The provider's authorized official is Sung Joo Park .
The authorized official title is Administrator and has the following contact phone number (530) 877-5083.

The enumeration date for this NPI number is 3/23/2006 and was last updated on 4/17/2009.

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
1	261QP2300X	Clinic/Center	Primary Care	A62508	CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	H09596	MEDICARE UPIN	CALIFORNIA

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: 11/21/2025

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