Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

David J Park, MD

Individual provider Medical Oncology Physician · NPI 1275619447

David J Park, MD is a Hematology/Oncology in Fullerton, California. Qualified in 2006, 20 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
20
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2151 N Harbor Blvd Ste 2200
Fullerton, CA 92835-3801
Phone: (714) 446-5900
Fax: (714) 446-5800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Oncology Physician (primary) Taxonomy 207RX0202X · Licence A75876 (CA)

Record details

NPI number1275619447
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 31, 2006
Last updated in NPPESDecember 3, 2021
Certification dateDecember 3, 2021
Mailing address2151 N Harbor Blvd Ste 3200, Fullerton, CA 92835-3826

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHEMATOLOGY/ONCOLOGY
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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