Judith J. Park is a Surgery in Oakland, California. Judith J. Park practices all healthcare services and medical treatments related to Surgery. The NPI Number for Judith J. Park is 1205908019. The last update date is 2022-01-06.
Judith J. Park's current location address is 1800 Harrison St Fl 7, Oakland, California. You can contact this provider via phone number 5106256262. The mailing address for Judith J. Park is 1800 Harrison St Fl 7, Oakland, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judith J. Park |
|---|---|
| Address | 1800 Harrison St Fl 7, Oakland, California |
| Phone Number | 5106256262 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1205908019 |
|---|---|
| Provider Enumeration Date | 2006-11-15 |
| Last Updated Date | 2022-01-06 |
Provider Mailing Address Detail
| Address | 1800 Harrison St Fl 7 |
|---|---|
| City | Oakland |
| State | California (CA) |
| Post Code | 946123466 |
| Phone Number | 5106256262 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | A67521 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A675210 | CA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Judith J. Park?
The Judith J. Park has been issued the NPI (National Provider Identifier) 1205908019 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Judith J. Park's physical address?
The Judith J. Park is physically located at 1800 Harrison St Fl 7, in the city of Oakland, CA, with the postal code 946123466.
What is Judith J. Park's specialized field of practice, and what is the corresponding taxonomy classification code?
The Judith J. Park's area of specialization is Surgery, and the corresponding taxonomy code that categorizes this field of practice is 208600000X.
On what date was the 1205908019 assigned to Judith J. Park?
The Judith J. Park was issued its 1205908019 on 2006-11-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Judith J. Park's details last updated?
The information pertaining to the Judith J. Park, including its address, specialty, and other details, was most recently updated on 2022-01-06.