MICHAEL KWANSUP PARK

OAKLAND, CA
NPI1932289030
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: CA  G75378)
Enumeration Date2006-10-16
Last Update Date2019-08-27
Business Address
Dr. MICHAEL KWANSUP PARK MD
1940 WEBSTER ST 2ND FLOOR
OAKLAND, CA 94612-2920
Phone number: 510-463-4700
Mailing Address
Dr. MICHAEL KWANSUP PARK MD
5700 TELEGRAPH AVE STE 100
OAKLAND, CA 94609-1710
Phone number: 510-463-4700