Individual provider · Type 1 NPI

Stella Detarsio-Park

General Practice Physician · Oakland, CA

NPI number 1649657826 Active

Practice location

1 Rio Vista Ave
Oakland, CA 94611-5320

Call (510) 277-7428 Map

Mailing address

2601 Blanding Ave, C340
Alameda, CA 94501-1579

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XND463 (CA)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1649657826

Stella Detarsio-Park's National Provider Identifier is 1649657826, issued on Apr 27, 2015. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Oakland, CA. The record was last updated on Apr 27, 2015.