| Daniel Park, MD | |
|
1359 Park Ave, Alameda, CA 94501-4511 | |
| (510) 523-8162 | |
| Not Available |
| Full Name | Daniel Park |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1359 Park Ave, Alameda, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881335693 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | A189753 (California) | Primary |
| Entity Name | Lpch Medical Group Div Of Lucile |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417907940 PECOS PAC ID: 0840298543 Enrollment ID: O20061113000232 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Park, MD 1359 Park Ave, Alameda, CA 94501-4511 Ph: (510) 523-8162 | Daniel Park, MD 1359 Park Ave, Alameda, CA 94501-4511 Ph: (510) 523-8162 |
Sang Thi Nguyen, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1535 Buena Vista Ave, Alameda, CA 94501 Phone: 480-280-5024 | |
Jameze Howard Reedus James, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1332 Park St Ste 202, Alameda, CA 94501 Phone: 510-523-3417 Fax: 866-826-1671 | |
Dr. Yolanda Lau, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1311 Park St # 1209, Alameda, CA 94501 Phone: 510-982-6165 | |
Jamie Elise Wallach, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1332 Park St Ste 202, Alameda, CA 94501 Phone: 510-523-3417 Fax: 510-521-1659 | |
Mrs. Gloria Alcala, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1332 Park St, Suite #202, Alameda, CA 94501 Phone: 510-523-3417 Fax: 510-521-1659 | |
Leo Yee Hung Cheng, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2417 Central Ave, Alameda, CA 94501 Phone: 510-749-5731 | |
Kathryn Burge, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1332 Park St Ste 200, Alameda, CA 94501 Phone: 650-342-4145 |