STELLA DETARSIO-PARK NPI 1649657826

NPI Information

NPI: 1649657826
Provider Name: STELLA DETARSIO-PARK
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
1 RIO VISTA AVE
OAKLAND, CA
ZIP 94611
Phone: (510) 277-7428
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Stella Detarsio-park is a general practice in Oakland, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Stella Detarsio-park NPI is 1649657826. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1 RIO VISTA AVE
OAKLAND, CA
ZIP 94611-320
Phone: (510) 277-7428

The enumeration date for this NPI number is 4/27/2015 and was last updated on 4/27/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		ND463	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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