Jae S Park, MD | |
1200 El Camino Real, South San Francisco, CA 94080-3208 | |
(650) 742-2000 | |
Not Available |
Full Name | Jae S Park |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 31 Years |
Location | 1200 El Camino Real, South San Francisco, 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 |
---|---|---|---|
1477631075 | NPI | - | NPPES |
00G804970 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | G80497 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Permanente Medical Group Inc | 8921910225 | 8376 |
Entity Name | Permanente Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Jae S Park, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262 | Jae S Park, MD 1200 El Camino Real, South San Francisco, CA 94080-3208 Ph: (650) 742-2000 |
Maung Tin, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 99 Oak Ave Apt 217, South San Francisco, CA 94080 Phone: 646-920-7685 | |
Dr. James Nicholas Peros, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1200 El Camino Real, South San Francisco, CA 94080 Phone: 650-742-2000 | |
Edmond L. Schmulbach, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 El Camino Real, South San Francisco, CA 94080 Phone: 650-742-2000 | |
Tom A. Vo, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 El Camino Real, South San Francisco, CA 94080 Phone: 650-742-2000 | |
William Chung, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1200 El Camino Real, South San Francisco, CA 94080 Phone: 650-742-2000 | |
Aruna K. Chinnakotla, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1200 El Camino Real, South San Francisco, CA 94080 Phone: 650-742-2000 | |
Anthony Tun Thu, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 El Camino Real, South San Francisco, CA 94080 Phone: 650-742-2000 |