PINE PARK HEALTH INC NPI 1346879848

NPI Details

PINE PARK HEALTH, INC is an internal medicine in Berkeley, CA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. PINE PARK HEALTH, INC NPI is 1346879848. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1901 4TH ST STE 201
BERKELEY, CA
ZIP 94710-986
Phone: (510) 929-1400
Fax: (510) 929-1414

The provider's authorized official is Stephanie Vanzee .
The authorized official title is Credentialing Coordinator and has the following contact phone number (469) 401-8820.

The CLIA number assigned to this NPI record is 03D2269060 - other - testing in alf with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/6/2020 and was last updated on 2/4/2025.

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: