Sangdae Park, in Sebastopol, CA - Physical Therapist

Sangdae Park, is a Physical Therapist based in Sebastopol, California. Sangdae Park is licensed to practice in California (license number 43130) and his current practice location is 556 Lyding Ln, Sebastopol, California. He can be reached at his office (for appointments etc.) via phone at (202) 870-0644.

NPI number for Sangdae Park is 1922543875 and his current mailing address is 556 Lyding Ln, Sebastopol, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1922543875.

Contact Information

	Sangdae Park,
	556 Lyding Ln, Sebastopol, CA 95472-3311
	(202) 870-0644
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Sangdae Park
Gender	Male
Speciality	Physical Therapist
Location	556 Lyding Ln, Sebastopol, California
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1922543875
Provider Enumeration Date: 01/02/2017
Last Update Date: 01/02/2017

Medical Identifiers

Medical identifiers for Sangdae Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922543875	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	43130 (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. Sangdae 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
Sangdae Park, 556 Lyding Ln, Sebastopol, CA 95472-3311 Ph: () -	Sangdae Park, 556 Lyding Ln, Sebastopol, CA 95472-3311 Ph: (202) 870-0644

Reviews and Comments

Physical Therapist in Sebastopol, CA

Paula Tanksley, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 130 Petaluma Ave, Ste 2-g, Sebastopol, CA 95472 Phone: 707-888-5093 Fax: 707-222-6572
Teresa L Burk, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 100 Pleasant Hill Ave N, Sebastopol, CA 95472 Phone: 707-829-3282
Kathy Mcconnell, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Pleasant Hill Ave N, Sebastopol, CA 95472 Phone: 707-829-3282 Fax: 707-829-3287
Mrs. Samantha Marie Jacobs, M.S.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 100 Pleasant Hill Ave N, Sebastopol, CA 95472 Phone: 707-829-3282 Fax: 707-829-3287
Elyse Detweiler Mccluskey, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 100 Pleasant Hill Ave N, Sebastopol, CA 95472 Phone: 707-829-3282 Fax: 707-829-3287
Patricia Donovan Martinez, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 100 Pleasant Hill Ave N, Sebastopol, CA 95472 Phone: 707-829-3282 Fax: 707-829-3287
Ms. Julie Clare Smith, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Swain Ave, Sebastopol, CA 95472 Phone: 707-829-1250

Sangdae Park, - Physical Therapist in Sebastopol, CA