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

Susan Jung Park

Individual provider Family Medicine Physician · NPI 1114253515

Susan Jung Park is a Family Medicine Physician in Fountain Valley, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2009

Practice location Address checks out

11420 Warner Ave
Fountain Valley, CA 92708-2529
Phone: (714) 549-1300
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 77563 (CA)

Record details

NPI number1114253515
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 20, 2009
Last updated in NPPESMay 19, 2010

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