Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Susanna Jung-A Park, MD

Individual provider Specialist · NPI 1528140928

Dr. Susanna Jung-A Park, MD is a Specialist in San Diego, California. Practices as a sole proprietor. Licensed in California.

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

11515 El Camino Real Ste 100
San Diego, CA 92130-2045
Phone: (858) 794-6363
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 54916 (CA)

Record details

NPI number1528140928
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 19, 2006
Last updated in NPPESApril 4, 2012

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