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

Dr. Samuel Park, MD

Individual provider Public Health & General Preventive Medicine Physician · NPI 1922363183

Dr. Samuel Park, MD is a Public Health & General Preventive Medicine Physician in San Diego, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2448 Historic Decatur Rd Ste 130
San Diego, CA 92106-6127
Phone: (619) 398-2960
Show map & directions

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

Specialties & licences

Public Health & General Preventive Medicine Physician (primary) Taxonomy 2083P0901X · Licence A127125 (CA)

Record details

NPI number1922363183
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 12, 2012
Last updated in NPPESFebruary 14, 2019

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