Dr Peter Sungil Park, MD is a
Obstetrics & Gynecology physician based in Winchester, California. Dr Peter Sungil Park is licensed to practice in California (license number A33486) and his current practice location is 31874 Summer Grape Ct, Winchester, California. He can be reached at his office (for appointments etc.) via phone at
(951) 926-9840.
NPI number for Dr Peter Sungil Park is 1033685177 and his current mailing address is 31874 Summer Grape Ct, Winchester, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1033685177.
Physician's Profile
Full Name | Dr Peter Sungil Park |
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Gender | Male |
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Speciality | Obstetrics & Gynecology |
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Location | 31874 Summer Grape Ct, Winchester, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1033685177
- Provider Enumeration Date: 10/16/2018
- Last Update Date: 10/16/2018
Medical Identifiers
Medical identifiers for Dr Peter Sungil Park such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033685177 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207V00000X | Obstetrics & Gynecology | A33486 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Peter Sungil Park is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Peter Sungil Park, MD 31874 Summer Grape Ct, Winchester, CA 92596-8633 Ph: (951) 926-9840 | Dr Peter Sungil Park, MD 31874 Summer Grape Ct, Winchester, CA 92596-8633 Ph: (951) 926-9840 |
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