NPI 1376744896

Dai Park, MD

Practitioner Allergy & Immunology Physician Modesto, CA

Practice location

Address: 600 Coffee Rd, Modesto, CA 95355-4201
Phone: (209) 521-6097

Registered specialties (3)

Allergy & Immunology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207K00000X Licence A101619 (CA)

Other Allergy & Immunology providers in California →

Internal Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 45278 (TN)

Other Internal Medicine providers in California →

Internal Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence A101619 (CA)

Registry record

NPI: 1376744896
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 May 2007
Record last updated: 22 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.