SAMUEL PARK M.D. – NPI #1922363183
Preventive Medicine

Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.

SAMUEL PARK is a physician located in SAN DIEGO, CA. NPPES has assigned the NPI number 1922363183 to SAMUEL PARK on July 12, 2012. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2083P0901X from the Health Care Provider Taxonomy code set, which is classified as Preventive Medicine, specializing in Public Health & General Preventive Medicine

The NPI profile was previously updated about 7 years ago on Feb 14, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SAMUEL PARK below.

NPI Profile for
SAMUEL PARK

NPI Number
1922363183
Enumeration Date

(about 14 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
SAMUEL PARK
Credentials
M.D.
Primary location
2448 HISTORIC DECATUR RD STE 130
SAN DIEGO, CA 92106-6127
Phone: (619) 398-2960 Fax:
Mailing address
2448 HISTORIC DECATUR RD
STE 130
SAN DIEGO, CA 92106-6127
Phone: (619) 398-2960 Fax:
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2083P0901X
- Preventive Medicine / Public Health & General Preventive Medicine (Primary)
CA A127125

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.