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

Edward Park, DO

Individual provider Internal Medicine Physician · NPI 1285255570

Edward Park, DO is an Internal Medicine in San Diego, California. Qualified in 2020, 6 years ago. Practices with County of Santa Clara, a 993-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2020
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

34800 Bob Wilson Dr
San Diego, CA 92134-1098
Phone: (619) 532-6400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 20A21915 (CA)
Hospitalist Physician Taxonomy 208M00000X · Licence 20A21915 (CA)

Record details

NPI number1285255570
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 28, 2020
Last updated in NPPESJanuary 28, 2026
Certification dateJanuary 28, 2026

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice County Of Santa Clara — 993 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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