Daniel Park, | |
3300 Douglas Blvd Ste 405, Roseville, CA 95661-3841 | |
(847) 337-9051 | |
Not Available |
Full Name | Daniel Park |
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Gender | Male |
Speciality | Emergency Medicine - Emergency Medical Services |
Location | 3300 Douglas Blvd Ste 405, Roseville, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518197938 | NPI | - | NPPES |
Entity Name | Cep America - California |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520 |
Mailing Address | Practice Location Address |
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Daniel Park, 3300 Douglas Blvd., Suite 405, Roseville, CA 95611 Ph: (847) 337-9051 | Daniel Park, 3300 Douglas Blvd Ste 405, Roseville, CA 95661-3841 Ph: (847) 337-9051 |
John Paul Youssry Kelada, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 680 Sunrise Ave, Roseville, CA 95661 Phone: 916-786-4700 Fax: 916-786-3912 | |
Dr. Jennifer Winnie Chou, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-4000 | |
Joseph Regis Quinn, M.D Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Plaza Dr, Roseville, CA 95661 Phone: 916-781-1000 | |
Pradeep Johns, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-474-6352 | |
Gregory P. Ouligian, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Medical Plaza Dr, Roseville, CA 95661 Phone: 916-781-1000 | |
Casey Roche, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-4000 | |
Terrence Horan, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-4000 |