Michael Kwansup Park in Oakland - Physical Medicine & Rehabilitation

Michael Kwansup Park - NPI 1932289030

Michael Kwansup Park is a Physical Medicine & Rehabilitation in Oakland, California. Michael Kwansup Park practices all healthcare services and medical treatments related to Physical Medicine & Rehabilitation. The NPI Number for Michael Kwansup Park is 1932289030. The last update date is 2019-08-27.

Michael Kwansup Park's current location address is 5700 Telegraph Ave, Oakland, California. You can contact this provider via phone number 5104634700. The mailing address for Michael Kwansup Park is 5700 Telegraph Ave, Oakland, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Kwansup Park
Address 5700 Telegraph Ave, Oakland, California
Phone Number 5104634700
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1932289030
Provider Enumeration Date 2006-10-16
Last Updated Date 2019-08-27

Provider Mailing Address Detail

Address 5700 Telegraph Ave
City Oakland
State California (CA)
Post Code 946091710
Phone Number 5104634700
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physical Medicine & Rehabilitation
Taxonomy 208100000X
Licence No G75378
Definition:
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affectin

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
E91026 CA MEDICARE

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FAQs about Michael Kwansup Park

What is the unique 10-digit identifier code assigned to Michael Kwansup Park by the Centers for Medicare & Medicaid Services?

The Michael Kwansup Park has been issued the NPI (National Provider Identifier) 1932289030 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Michael Kwansup Park?

The Michael Kwansup Park is physically situated at 5700 Telegraph Ave, in the city of Oakland, state of CA, with the postal code 946091710.

What is Michael Kwansup Park's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Michael Kwansup Park is Physical Medicine & Rehabilitation, and the taxonomy code that categorizes this field of expertise is 208100000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1932289030 to Michael Kwansup Park?

The Michael Kwansup Park received its 1932289030 assignment from the Centers for Medicare & Medicaid Services on 2006-10-16.

As of what date were the details pertaining to Michael Kwansup Park last refreshed?

The information related to the Michael Kwansup Park, including its address, specialty, and other relevant details, was last updated on 2019-08-27.

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