Peter Sang-wook Park
DPM | Podiatrist | 30+ years Exp
Medicare Enrolled
1501 W Commonwealth Ave, Fullerton
California, 92833-2727
714-410-3100 Maps & DirectionsPeter Sang-wook Park is a Fullerton, California based podiatrist with 30 years of experience in Podiatry. He completed his graduation in 1995. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Peter Sang-wook Park for Podiatric Foot & Ankle Surgery is E4031 in California.
Peter Sang-wook Park is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Peter Sang-wook Park speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Podiatry |
| Credentials: | DPM |
| Experience: | 30+ years |
| Medical School Attended: | Other |
| Graduation Year: | 1995 |
| Gender: | Male |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1501 W Commonwealth Ave, Fullerton,
California, 92833-2727 |
| Phone: | 714-410-3100 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 3971587353 |
| Enrollment ID: | I20040614001647 |
| NPI Number: | 1104825033 |
| NPI Enumeration Date: | 21 Jul, 2005 |
| NPI Last Update On: | 29 Sep, 2020 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Peter Sang-wook Park are as mentioned below.
| License Number | Specialization | State | Status | |
| E4031 | Podiatric Foot & Ankle Surgery | California | Primary | |
| E4031 | Podiatry | California | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Peter Sang-wook Park is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Healthcare Partners Affiliates Medical Group (7315842002) | 761 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Peter Sang-wook Park such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 00E40310 | Other | California | MEDI CAL |
| 1104825033 | Other | California | NPI |
| CE813A | Other | California | MEDICARE PTAN |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1417 Stein Strauss St,
Fullerton, California |
| Zip: | 92833-2159 |
| Phone Number: | 714-797-3668 |
| Fax Number: | -- |
Patients can reach Peter Sang-wook Park at
1501 W Commonwealth Ave, Fullerton, California or can
call to book an appointment on 714-410-3100.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.