Doctor profile · Federal record
Dr. Renee Park, M.D., M.P.H.
Pediatric Otolaryngology Physician · Pediatric Otolaryngology Physician · Fontana, CA
- NPI 1205079910
- 17 yrs on file
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
9961 Sierra Ave
Fontana, CA 923356720
(909) 427-5000
Credentials & registration
- NPI registered
- April 2009 — 17 yrs on file
- Profile last updated
- November 29, 2021
- Specialty taxonomy
- 207YP0228X — NUCC code
- State licenses (2)
- California #A135401 · Pennsylvania #MD454696
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1205079910. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$32
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Atos Medical Inc | 1 | $31.56 |
By nature of payment
Frequently asked questions
What is Dr. Renee Park's medical specialty?
Dr. Renee Park practices Pediatric Otolaryngology Physician in Fontana, CA.
Where does Dr. Renee Park practice?
Dr. Renee Park practices at 9961 Sierra Ave, Fontana, CA 923356720. Office phone: 9094275000.
What is Dr. Renee Park's NPI?
Dr. Renee Park's National Provider Identifier (NPI) is 1205079910, issued by NPPES.