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

Jae Man Park, MD

Individual provider Internal Medicine Physician · NPI 1669628228

Jae Man Park, MD is an Internal Medicine in Garden Grove, California. Qualified in 1997, 29 years ago. Practices with Bethel Medical Group Inc, a 2-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
29
Licensed in
CA
In the registry since
2008
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

9535 Garden Grove Blvd Ste 103
Garden Grove, CA 92844-1550
Phone: (714) 534-1112
Fax: (714) 534-1116
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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 A105181 (CA)

Record details

NPI number1669628228
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 14, 2008
Last updated in NPPESDecember 4, 2013

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Bethel Medical Group Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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