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1477631075
JAE S. PARK
SOUTH SAN FRANCISCO, CA
NPI
1477631075
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA G80497)
Enumeration Date
2006-11-01
Last Update Date
2021-12-13
Business Address
JAE S. PARK MD
1200 EL CAMINO REAL
SOUTH SAN FRANCISCO, CA 94080-3208
Phone number: 650-742-2000
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Mailing Address
JAE S. PARK MD
1800 HARRISON ST FL 7
OAKLAND, CA 94612-3466
Phone number: 510-625-6262
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