Dr Michael Kwansup Park, MD | |
1940 Webster St, 2nd Floor, Oakland, CA 94612-2920 | |
(510) 463-4700 | |
(510) 463-4722 |
Full Name | Dr Michael Kwansup Park |
---|---|
Gender | Male |
Speciality | Physical Medicine And Rehabilitation |
Experience | 33 Years |
Location | 1940 Webster St, Oakland, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932289030 | NPI | - | NPPES |
E91026 | Other | CA | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | G75378 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Alta Bates Summit Medical Center - Alta Bates Camp | Berkeley, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bay Area Comprehensive Spine And Sports Medical Group Inc | 6709871411 | 2 |
Entity Name | Bay Area Comprehensive Spine And Sports Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205928645 PECOS PAC ID: 6709871411 Enrollment ID: O20040420000628 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Kwansup Park, MD 5700 Telegraph Ave, Ste 100, Oakland, CA 94609-1710 Ph: (510) 463-4700 | Dr Michael Kwansup Park, MD 1940 Webster St, 2nd Floor, Oakland, CA 94612-2920 Ph: (510) 463-4700 |
Dr. Allison Gannon Pollock, M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 350 Hawthorne Ave, Oakland, CA 94609 Phone: 510-847-7771 | |
Andrea Lee Wilcox, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 275 W Macarthur, Oakland, CA 94611 Phone: 510-752-1000 | |
Margaret Cosgrove, DPT Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 3600 Broadway, Oakland, CA 94611 Phone: 510-752-1000 | |
Alexandria Woodbury, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 3645 Grand Ave Ste 203, Oakland, CA 94610 Phone: 510-883-3534 | |
Sheanhuey Ng, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 747 52nd St, Oakland, CA 94609 Phone: 510-428-3000 | |
Yumi Mitsuya, M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 747 52nd St, Oakland, CA 94609 Phone: 510-428-3000 | |
Margaret Lucy Stokely, OTR/L Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 44 Danbury St, Oakland, CA 94605 Phone: 423-243-4743 |