Individual provider · Type 1 NPI

Mathew Park

Student in an Organized Health Care Education/Training Program · Alameda, CA

NPI number 1245563378 Active

Practice location

73 Applegate Way
Alameda, CA 94502-7714

Call (510) 205-7000 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1245563378

Mathew Park's National Provider Identifier is 1245563378, issued on Sep 8, 2009. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Alameda, CA. The record was last updated on Sep 8, 2009.