Park, Catherine C.

Park, Catherine C. is an individual health care provider with primary practice located at 1600 Divisadero St , San Francisco CA 94115-3010. She recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as her primary health care specialty. Park, Catherine C. can be contacted via phone (415) 353-7175.

Contact Information

Primary practice address
1600 Divisadero St San Francisco CA 94115-3010
Phone: (415) 353-7175
Fax: (415) 353-9883
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X A72654 California

Profile Details

NPI number 1205878360
LBN Legal business name Park, Catherine C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Sep 18th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205878360 NPPES
California MEDICAID 00A726540

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