Sunny Park MD, Inc

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

License

A114258 Issued in CA

Legal business name

SUNNY PARK MD, INC

Practice address

20280 SW Acacia St Ste 130
Newport Beach, CA 92660-0782

Phone

(949) 932-0167

NPI assigned

Apr 26, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sunny Park, MDNPI 1730306085

Title

Ceo

Phone

(267) 456-5066

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sunny Park, M.D.

  • Surgery Physician
  • Camden, NJ
  • NPI 1730306085

  CA

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1398470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786579200000",
    "number": "1174943377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20280 SW ACACIA ST STE 130",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926600782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20280 SW ACACIA ST STE 130",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926600782",
            "telephone_number": "949-932-0167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNY PARK MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-26",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "SUNNY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "267-456-5066",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "CA",
            "license": "A114258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yuting Sundman
• Christopher Sung
• Kay Keeyeul Sung, M.D.
• Sungil Manual Medicine and Acupuncture Inc
• Thrissawan Sungkapalee, M.D.
• Sunrise Healing Non-Profit, Inc
• Sunset Shoreline
• Sunset Shores Recovery
• George Gregory Super, M.D.
• Superior Family Medical Group Inc

• Facial Plastic Surgery Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Facial Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.