Individual
DANIEL C PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
818 WEBSTER STREET, OAKLAND, CA 94607
(510) 986-6800
(510) 986-6896
Mailing address
818 WEBSTER STREET, OAKLAND, CA 94607
(510) 986-6800
(510) 986-6896
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G51054
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G510540
—
CA
Enumeration date
11/01/2006
Last updated
12/22/2016
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