Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHAN M PARK, MD
ActiveDR. CHAN M PARK, MD is a Oral & Maxillofacial Surgery (Physician) healthcare provider located in ANAHEIM, California. NPI 1871617027 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery (Physician) · ANAHEIM, CA
Registration Details
- NPI Number
- 1871617027
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 16, 2007 (19.456305818658 yrs)
- Last Updated
- Jul 25, 2022
- License
-
A109104 (CA)
Practice Information
- Address
-
3460 E LA PALMA AVE STE 202ANAHEIM, CA, 928062020Browse CA providers · Browse ZIP 92806
- Phone
- 8335742273
- Primary Specialty
-
Oral & Maxillofacial Surgery (Physician)
204E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.