DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MI RAN PARK, M.D.

Active Sole Proprietor

DR. MI RAN PARK, M.D. is a Family Medicine healthcare provider located in SAN JOSE, California. NPI 1992929616 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · SAN JOSE, CA

Registration Details

NPI Number
1992929616
Provider Type
Individual
Gender
Female
NPI Issued
Apr 12, 2007 (19.387245908868 yrs)
Last Updated
Nov 21, 2013
Licenses
A103558 (CA)
A103558 (CA)
Sole Proprietor
Yes

Practice Information

Address
5150 GRAVES AVE.
SUITE 11B
SAN JOSE, CA, 951295014
Browse CA providers · Browse ZIP 95129
Phone
4082930800
Fax
4082930801
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Primary Care Clinic

Other Family Medicine Providers in SAN JOSE, CA

Name Credential NPI
VINCENT LE DO 1760485171
DANIEL LOPEZ M.D. 1265430144
DR. ANNE HUGHES MD 1962494278
THANH UYEN LE MD 1679567051
MANJULA KAMARAJU MD 1003802612
JOCELIZA G CHAUDHARY MD 1982690509
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.