Peter Sang-wook Park is a Fullerton, California based male podiatrist with 29 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:
Podiatrist
Credentials:
DPM
Experience:
29+ 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:
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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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
Similar Podiatrist in Fullerton, CA
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