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Jacqueline Park, M.D
NPI 1346415247 · on the registry since 2008
Practice
- Address
- 2089 Vale Rd
Suite 33
San Pablo, CA 94806 - Phone
- (510) 234-5012
- Fax
- (510) 234-4921
- Organisation at this address
- Js Capital Group
Js Capital Group
Vale Road Podiatry
Ciaran Jacka Dpm Inc
Daniel Tanita, Dds IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 25
Registry record
- Primary taxonomy
- Gastroenterology Physician
207RG0100X
- Also registered as
- Gastroenterology Physician
- Licence states on file
- NY, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-12-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California