SearchCalifornia171100000X

Amos Park

NPI 1487248126 · on the registry since 2021 · sole proprietor

Practice

Address
5924 Stoneridge Dr Ste 204a
Pleasanton, CA 94588
Phone
(925) 399-1005
Organisation at this address
Medsure
Kimberly G Kau
Bass Medical Group
Accura Imaging, Inc
Seneca Surgical, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
19

Registry record

Primary taxonomy
171100000X
171100000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-02-23

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