| NPI | 1205928645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL KWANSUP PARK President 510-463-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2019-10-09 |