Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SANGTAE PARK M.D., INC.
NPI 1720990203
Clinic/Center - Health Service in Clovis, CA

Q: What is Sangtae Park M.D., Inc.'s NPI number?

The NPI number for Sangtae Park M.D., Inc. is 1720990203. It was assigned to this organization in the NPPES registry on September 21, 2026.

Q: What is Sangtae Park M.D., Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Active since September 21, 2026

782 N MEDICAL CENTER DR E STE 311, CLOVIS, CA 93611(312) 285-6267 Get Directions Write a Review

NPPES record added: September 21, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Sangtae Park M.d., Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANGTAE PARK M.D., INC. (NPI 1720990203) is a healthcare organization registered as a health service in Clovis, California and active in the NPI registry since September 2026. The organization lists Sangtae Park, President, as its authorized official.

NPPES Registry Identity

NPI1720990203

Entity TypeOrganization

Primary Taxonomy261QH0100X

Legal Business NameSANGTAE PARK M.D., INC.

Location Address782 N MEDICAL CENTER DR E STE 311Clovis, CA 93611-6892

Mailing Address260 South AveGlencoe, IL 60022-1754 · (312) 285-6267

Phone(312) 285-6267

Organization SubpartNo

Authorized OfficialSangtae ParkPresident · (312) 285-6267

Enumeration DateSeptember 21, 2026

NPPES CertifiedSeptember 21, 2026

✔ NPI 1720990203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities

Taxonomy Code261QH0100X

782 N MEDICAL CENTER DR E STE 311, Clovis, CA 93611

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sangtae Park M.D., Inc.'s NPI number?

The NPI number for Sangtae Park M.D., Inc. is 1720990203. It was assigned to this organization in the NPPES registry on September 21, 2026.

Where is Sangtae Park M.D., Inc. located?

Sangtae Park M.D., Inc. is located at 782 N Medical Center Dr E Ste 311, Clovis, CA 93611. The listed phone number is (312) 285-6267.

What is Sangtae Park M.D., Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Sangtae Park M.D., Inc. was last updated on September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.