Susanna S. Park in Sacramento - Ophthalmology
Susanna S. Park - NPI 1902881972
Susanna S. Park is a Ophthalmology in Sacramento, California. Susanna S. Park practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Susanna S. Park is 1902881972. The last update date is 2007-07-08.
Susanna S. Park's current location address is 4860 Y St, Sacramento, California. You can contact this provider via phone number 9167346544 and fax number 9167346197. The mailing address for Susanna S. Park is 4860 Y St, Sacramento, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susanna S. Park |
|---|---|
| Address | 4860 Y St, Sacramento, California |
| Phone Number | 9167346544 |
| Fax Number | 9167346197 |
| Sole Proprietor | X |
| Credentials | M.D., PH.D |
NPI Number Detail
| NPI Number | 1902881972 |
|---|---|
| Provider Enumeration Date | 2005-12-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4860 Y St |
|---|---|
| City | Sacramento |
| State | California (CA) |
| Post Code | 958172307 |
| Phone Number | 9167346544 |
| Fax Number | 9167346197 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
| Licence No | G75691 |
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Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GR002104I | CA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Susanna S. Park by the Centers for Medicare & Medicaid Services?
The Susanna S. Park has been issued the NPI (National Provider Identifier) 1902881972. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Susanna S. Park?
The Susanna S. Park is physically situated at 4860 Y St, in the city of Sacramento, state of CA, with the postal code 958172307.
What is the Susanna S. Park's area of specialization and corresponding taxonomy classification?
The Susanna S. Park's specialty field is Ophthalmology, and it falls under the taxonomy code 207W00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1902881972 to Susanna S. Park?
The Centers for Medicare & Medicaid Services assigned the 1902881972 to Susanna S. Park on 2005-12-13.
When was the information regarding Susanna S. Park, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Susanna S. Park, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.