Miss Shin Kwan Park, is a
Case Manager/care Coordinator based in Palo Alto, California. Miss Shin Kwan Park is licensed to practice in * (Not Available) (license number ) and her current practice location is
652 Forest Ave, La Selva, Palo Alto, California. She can be reached at her office (for appointments etc.) via phone at
(650) 323-1401.
NPI number for Miss Shin Kwan Park is 1144340639 and her current mailing address is 2001 The Alameda, Allicance For Community Care, San Jose, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1144340639.
Healthcare Provider's Profile
| Full Name | Miss Shin Kwan Park |
|---|
| Gender | Female |
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| Speciality | Case Manager/care Coordinator |
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| Location | 652 Forest Ave, Palo Alto, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1144340639
- Provider Enumeration Date: 03/30/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Miss Shin Kwan Park such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144340639 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Shin Kwan Park is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Miss Shin Kwan Park,
2001 The Alameda, Allicance For Community Care,
San Jose, CA 95126-1136
Ph: (408) 261-7777 | Miss Shin Kwan Park,
652 Forest Ave, La Selva,
Palo Alto, CA 94301-2622
Ph: (650) 323-1401 |
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