Detarsio-Park, Stella

Detarsio-Park, Stella is an sole proprietor health care provider with primary practice located at 1 Rio Vista Ave , Oakland CA 94611-5320. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Detarsio-Park, Stella can be contacted via phone (510) 277-7428.

Contact Information

Primary practice address
1 Rio Vista Ave Oakland CA 94611-5320
Phone: (510) 277-7428
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X ND463 California

Profile Details

NPI number 1649657826
LBN Legal business name Detarsio-Park, Stella
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 27th, 2015
Last updated Apr 27th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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