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Mr. Mathew Park
Student in an Organized Health Care Education/Training Program in Alameda, California
NPI 1245563378

Mathew Park is a Student in an Organized Health Care Education/Training Program based in Alameda, CA. Mathew Park practices in Alameda, CA. The NPI Number for Mathew Park is 1245563378 and holds a License No. (California).

The current practice location address for Mathew Park is 73 Applegate Way, Alameda, CA and can be reached out via phone at 510-205-7000.

Location: 73 Applegate Way, Alameda, CA, 94502-7714
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245563378
Provider Name
Mathew Park
Credential
Provider Entity Type
Individual
Gender
Male
Address
73 Applegate Way, Alameda, CA, 94502-7714
Phone Number
510-205-7000
Fax Number
Provider Enumeration Date
09/08/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
73 Applegate Way
City
Alameda
State
California
Zip
94502-7714
Phone Number
510-205-7000
Fax Number
person
Provider Business Mailing Address Details
Address
73 Applegate Way
City
Alameda
State
California
Zip
94502-7714
Phone Number
510-205-7000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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