SAMUEL W PARK MD INC NPI 1801177753

NPI Information

  • NPI: 1801177753
  • Provider Name: SAMUEL W PARK MD INC
  • Classification: Orthopaedic Surgery - 207X00000X
  • Entity Type: Organization
  • Address: 26730 CROWN VALLEY PKWY
    SUITE 200
    MISSION VIEJO, CA
    ZIP 92691
  • Phone: (949) 364-2154

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NPI Details

SAMUEL W PARK MD INC is an orthopaedic surgery in Mission Viejo, CA. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. SAMUEL W PARK MD INC NPI is 1801177753. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

26730 CROWN VALLEY PKWY
SUITE 200
MISSION VIEJO, CA
ZIP 92691-364
Phone: (949) 364-2154
Fax: (949) 496-8872

The provider's authorized official is Dawn A Reimer .
The authorized official title is Credentialing and has the following contact phone number (949) 294-0692.

The enumeration date for this NPI number is 9/6/2011 and was last updated on 9/6/2011.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207X00000XOrthopaedic SurgeryA96320CALIFORNIAYes

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This page was last updated on: 3/30/2025

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