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Organization

BAY AREA COMPREHENSIVE SPINE AND SPORTS MEDICAL GROUP INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL KWANSUP PARK (PRESIDENT)
(510) 463-4700
Entity
Organization

Contact information

Practice address
5700 TELEGRAPH AVE STE 100, OAKLAND, CA 94609-1710
(510) 463-4700
(510) 463-4722
Mailing address
5700 TELEGRAPH AVE STE 100, OAKLAND, CA 94609-1710
(510) 463-4700
(510) 463-4722

Taxonomy

Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary

Other

Enumeration date
09/29/2006
Last updated
10/09/2019
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