Park, Michelle Myoungwoo

Park, Michelle Myoungwoo is an individual health care provider with primary practice located at 3075 Adeline St Ste 280 , Berkeley CA 94703-2580. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Community Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Park, Michelle Myoungwoo can be contacted via phone (510) 981-4100.

Contact Information

Primary practice address
3075 Adeline St Ste 280 Berkeley CA 94703-2580
Phone: (510) 981-4100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 847491 California
Nursing Service Providers / Community Health 163WC1500X 87621 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95002767 California

Profile Details

NPI number 1346616745
LBN Legal business name Park, Michelle Myoungwoo
Credentials NP, RN
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2015
Last updated Aug 16th, 2021 - about 4 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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