Park, Michael Kwansup
Park, Michael Kwansup is an individual health care provider with primary practice located at 1940 Webster St 2Nd Floor, Oakland CA 94612-2920. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Park, Michael Kwansup can be contacted via phone (510) 463-4700.Contact Information
Primary practice address
1940 Webster St 2Nd Floor
Oakland CA 94612-2920
Phone: (510) 463-4700
Fax: (510) 463-4722
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | G75378 | California |
Profile Details
| NPI number | 1932289030 |
|---|---|
| LBN Legal business name | Park, Michael Kwansup |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 16th, 2006 |
| Last updated | Aug 27th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932289030 | NPPES |
| California | Other | E91026 | MEDICARE |
Popular Providers
-
Jiang, Xiaohua
275 W Macarthur Blvd , Oakland CA 94611-5641 -
Schwarz, Paula Kay
6001 Telegraph Ave , Oakland CA 94609-1310 -
Henry, Mechel M
1300 Clay St Suite 600, Oakland CA 94612-1425 -
Sigford, Kathryn Elizabeth
744 52Nd St Fl St22 , Oakland CA 94609-1810 -
Wilcox, Andrea Lee
275 W Macarthur , Oakland CA 94611-5641 -
Shen, Timothy C
3300 Webster St #702, Oakland CA 94609 -
Wiesner, Steven L.
275 W Macarthur , Oakland CA 94611-5641 -
Aptaker, Richard L.
275 W Macarthur , Oakland CA 94611-5641