IndividualActive
Chan Park, MD
NPI 1871617027 · Oral & Maxillofacial Surgery (D.M.D.) · Anaheim, CA
Provider details
- NPI number
- 1871617027
- Entity type
- Individual
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- A109104 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3460 E La Palma Ave Ste 202
Anaheim, CA 92806-2020
Phone: (833) 574-2273
Approximate (ZIP-level) locationGet directions
Mailing address
3460 E La Palma Ave Ste 202
Anaheim, CA 92806-2020
Registry dates
- Enumerated
- 2007-03-16
- Last updated
- 2022-07-25
- Certified
- 2022-05-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.