Active NPI
Park Family Medicine LLC
- Family Medicine Physician
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PARK FAMILY MEDICINE LLC
- Practice address
- 310 N Wilmot Rd Ste 301
Tucson, AZ 85711-2628 - Phone
- (520) 771-6675
- Fax
- (520) 771-9507
- NPI assigned
- Apr 21, 2026
- Last updated
- Apr 21, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Eun Soo David Park, MD
- Title
- Owner
- Phone
- (520) 771-6675
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
310 N Wilmot Rd Ste 301
Tucson, AZ 85711-2628
Mailing address
310 N Wilmot Rd Ste 301
Tucson, AZ 85711-2628
Phone (520) 771-6675
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2338189 | Park Family Medicine LLC | Certificate of waiver | Feb 5, 2028 |
National Provider Directory
National Provider DirectoryLocations
310 N Wilmot Rd
Ste 301
Tucson, AZ 85711
Phone (520) 296-9059
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Tucson, AZ
- NPI 1407205743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776729600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776729600000",
"number": "1376488858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 N WILMOT RD STE 301",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857112628",
"telephone_number": "520-771-6675",
"fax_number": "520-771-9507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 N WILMOT RD STE 301",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857112628",
"telephone_number": "520-771-6675",
"fax_number": "520-771-9507"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARK FAMILY MEDICINE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-21",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A",
"authorized_official_last_name": "PARK",
"authorized_official_first_name": "EUN SOO",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "520-771-6675",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
- Parish Chiropractic, P. C.
- Walter E Parish, D.C.
- Margaret McMurray Parisoff, LPC
- Holly Elizabeth Pariury, D.O.
- Kenneth Pariza, RPH
- Park Waverly Healthcare LLC (Park Avenue Health and Rehabilitation Center)
- Park Waverly Healthcare LLC (Park Avenue Health and Rehabilitaion Center)
- Alison Park, RDH
- Eun Soo David Park, M.D.
- Grace Hyeyoung Park
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.