Alice J Park is a Nephrology in Long Beach, California. Alice J Park practices all healthcare services and medical treatments related to Nephrology. The NPI Number for Alice J Park is 1649336298. The last update date is 2018-08-13.
Alice J Park's current location address is 3780 Kilroy Airport Way, Long Beach, California. You can contact this provider via phone number 5625957426 and fax number 5629893054. The mailing address for Alice J Park is 3780 Kilroy Airport Way, Long Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alice J Park |
|---|---|
| Address | 3780 Kilroy Airport Way, Long Beach, California |
| Phone Number | 5625957426 |
| Fax Number | 5629893054 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1649336298 |
|---|---|
| Provider Enumeration Date | 2006-12-28 |
| Last Updated Date | 2018-08-13 |
Provider Mailing Address Detail
| Address | 3780 Kilroy Airport Way |
|---|---|
| City | Long Beach |
| State | California (CA) |
| Post Code | 908062457 |
| Phone Number | 5625957426 |
| Fax Number | 5629893054 |
Provider's Primary Taxonomy Detail
| Speciality | Nephrology |
|---|---|
| Taxonomy | 207Rn0300X |
| Licence No | A90337 |
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Definition: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
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What is the Alice J Park's unique identification number?
The Alice J Park has been assigned the NPI (National Provider Identifier) Number 1649336298 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Alice J Park is physically located?
The Alice J Park is situated at the following address: 3780 Kilroy Airport Way, Long Beach, CA 908062457.
What is the Alice J Park's area of specialization and corresponding taxonomy classification?
The Alice J Park's specialty field is Nephrology, and it falls under the taxonomy code 207Rn0300X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1649336298 to Alice J Park?
The Alice J Park received its 1649336298 assignment from the Centers for Medicare & Medicaid Services on 2006-12-28.
As of what date were the Alice J Park's details last updated?
The information pertaining to the Alice J Park, including its address, specialty, and other details, was most recently updated on 2018-08-13.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY