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Peter Sang-wook Park, DPM
Foot & Ankle Surgery Podiatrist in Fullerton, California
NPI 1104825033

Peter Sang-wook Park is a Foot & Ankle Surgery Podiatrist based in Fullerton, CA and is specialized in Foot & Ankle Surgery. Peter Sang-wook Park practices in Fullerton, CA and has the professional credentials of DPM. The NPI Number for Peter Sang-wook Park is 1104825033 and holds a License No. E4031 (California).

The current practice location address for Peter Sang-wook Park is 1501 W Commonwealth Ave, Fullerton, CA and can be reached out via phone at 714-410-3100.

Location: 1501 W Commonwealth Ave, Fullerton, CA, 92833-2159
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104825033
Provider Name
Peter Sang-wook Park
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1501 W Commonwealth Ave, Fullerton, CA, 92833-2159
Phone Number
714-410-3100
Fax Number
Provider Enumeration Date
07/21/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00E40310 01 CA MEDI CAL
1104825033 01 CA NPI
CE813A 01 CA MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
1501 W Commonwealth Ave
City
Fullerton
State
California
Zip
92833-2727
Phone Number
714-410-3100
Fax Number
person
Provider Business Mailing Address Details
Address
1501 W Commonwealth Ave
City
Fullerton
State
California
Zip
92833-2727
Phone Number
714-410-3100
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
E4031 (California)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
E4031 (California)
Definition
Definition to come...
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