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BAY AREA COMPREHENSIVE SPINE AND SPORTS MEDICAL GROUP INC NPI 1205928645


NPI Information

NPI: 1205928645
Provider Name: BAY AREA COMPREHENSIVE SPINE AND SPORTS MEDICAL GROUP INC
Classification: Physical Medicine & Rehabilitation - 2081S0010X
Entity Type: Organization

Specialization: Sports Medicine

Address:
5700 TELEGRAPH AVE STE 100
OAKLAND, CA
ZIP 94609
Phone: (510) 463-4700
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BAY AREA COMPREHENSIVE SPINE AND SPORTS MEDICAL GROUP INC is a sports medicine physical medicine rehabilitation in Oakland, CA. The provider is a physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. BAY AREA COMPREHENSIVE SPINE AND SPORTS MEDICAL GROUP INC NPI is 1205928645. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5700 TELEGRAPH AVE STE 100
OAKLAND, CA
ZIP 94609-710
Phone: (510) 463-4700
Fax: (510) 463-4722

The provider's authorized official is Michael Kwansup Park .
The authorized official title is President and has the following contact phone number (510) 463-4700.

The enumeration date for this NPI number is 9/29/2006 and was last updated on 10/9/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12081S0010XPhysical Medicine & RehabilitationSports MedicineYes

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: 4/28/2024

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