Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Sangtae Park MD, Inc

Organization Health Service Clinic/Center · NPI 1720990203

Sangtae Park MD, Inc provides Health Service Clinic/Center services in Clovis, California. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

782 N Medical Center Dr E Ste 311
Clovis, CA 93611-6892
Phone: (312) 285-6267
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Service Clinic/Center (primary) Taxonomy 261QH0100X

Record details

NPI number1720990203
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sangtae Park — President · (312) 285-6267
NPI enumeratedSeptember 21, 2026
Last updated in NPPESSeptember 21, 2026
Certification dateSeptember 21, 2026
Mailing address260 South Ave, Glencoe, IL 60022-1754

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