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

Individual provider Orthopaedic Surgery Physician · NPI 1710181854

Samuel Wan Park, MD is an Orthopedic Surgery in Mission Viejo, California. Graduated from University of Pittsburgh School of Medicine in 2004, 22 years ago. Practices with Orthopaedic Specialty Institute Medical Group of Orange County, a 63-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
22
Trained at
University of Pittsburgh School of Medicine
Licensed in
CA
In the registry since
2007
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

26730 Crown Valley Pkwy Ste 200
Mission Viejo, CA 92691
Phone: (949) 364-2154
Fax: (949) 496-8872
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence A96320 (CA)

Record details

NPI number1710181854
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 13, 2007
Last updated in NPPESFebruary 17, 2020
Certification dateFebruary 17, 2020

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolUNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Orthopaedic Specialty Institute Medical Group Of Orange County — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mission Viejo