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

Dr. Shawn Seung Dae Park, MD

Individual provider Military Health Care Provider · NPI 1538864335

Dr. Shawn Seung Dae Park, MD is a Military Health Care Provider in Fairfield, California. Licensed in Indiana. Registered with an NPI since 2023.

Licensed in
IN
In the registry since
2023
Specialties on file
2
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

101 Bodin Cir
Fairfield, CA 94535-1809
Phone: (707) 423-3792
Fax: (707) 423-3501
Show map & directions

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 01097499A (IN)
Military Health Care Provider Taxonomy 171000000X

Record details

NPI number1538864335
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 3, 2023
Last updated in NPPESAugust 13, 2025
Certification dateAugust 13, 2025

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