IndividualActive
Brian Park, M.D.
NPI 1508918616 · Vascular Surgery Physician · Sacramento, CA
Provider details
- NPI number
- 1508918616
- Entity type
- Individual
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- ME 115350 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2725 Capitol Ave Dept 402
Sacramento, CA 95816-6032
Phone: (916) 262-9400
Fax: (916) 262-9399
Approximate (ZIP-level) locationGet directions
Mailing address
10470 Old Placerville Rd Ste 100
Sacramento, CA 95827-2539
Registry dates
- Enumerated
- 2007-01-17
- Last updated
- 2017-01-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.