Jae S. Park in South San Francisco - Internal Medicine
Jae S. Park - NPI 1477631075
Jae S. Park is a Internal Medicine in South San Francisco, California. Jae S. Park practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Jae S. Park is 1477631075. The last update date is 2021-12-13.
Jae S. Park's current location address is 1200 El Camino Real, South San Francisco, California. You can contact this provider via phone number 6507422000. The mailing address for Jae S. Park is 1200 El Camino Real, South San Francisco, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jae S. Park |
|---|---|
| Address | 1200 El Camino Real, South San Francisco, California |
| Phone Number | 6507422000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1477631075 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2021-12-13 |
Provider Mailing Address Detail
| Address | 1200 El Camino Real |
|---|---|
| City | South San Francisco |
| State | California (CA) |
| Post Code | 940803208 |
| Phone Number | 6507422000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | G80497 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G804970 | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jae S. Park by the Centers for Medicare & Medicaid Services?
The Jae S. Park has been assigned the NPI (National Provider Identifier) 1477631075. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jae S. Park's facilities are situated?
The facilities of Jae S. Park are physically located at the following address: 1200 El Camino Real, South San Francisco, CA, 940803208.
What is Jae S. Park's area of expertise and its corresponding taxonomy classification?
The Jae S. Park's field of specialization is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1477631075 to Jae S. Park?
The Jae S. Park received its 1477631075 assignment from the Centers for Medicare & Medicaid Services on 2006-11-01.
As of what date were the details pertaining to Jae S. Park last refreshed?
The information related to the Jae S. Park, including its address, specialty, and other relevant details, was last updated on 2021-12-13.