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Search › Virginia › 363LF0000X

Min Park, NP

NPI 1619826476 · on the registry since 2026

Practice

Address
11240 Waples Mill Rd Ste 300
Fairfax, VA 22030
Phone
(571) 407-5042
Organisation at this address
Axiom Link
Axiom Link
Matrix Med Inc
Sun Medical Llc
Axiom Link, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
114

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-01-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia