-- DAI PARK -- M.D.
Individual Provider (NPI-1)
Active
Allergy & Immunology
Provider Information
- NPI Number
1376744896- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 600 COFFEE RD, MODESTO, CA, 953554201
- Phone
- (209) 521-6097
Specialties & Taxonomies
Internal Medicine
License: TN #45278
Internal Medicine
License: CA #A101619
Allergy & Immunology
Primary License: CA #A101619