Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Michael Kwansup Park, MD

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1932289030

Dr. Michael Kwansup Park, MD is a Physical Medicine and Rehabilitation in Oakland, California. Graduated from University of Southern California Keck School of Medicine in 1991, 35 years ago. Practices with UCSF Medical Group Business Services, a 1,531-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
35
Trained at
University of Southern California Keck School of Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1940 Webster St 2nd Fl
Oakland, CA 94612-2920
Phone: (510) 463-4700
Fax: (510) 463-4722
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence G75378 (CA)

Record details

NPI number1932289030
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 16, 2006
Last updated in NPPESAugust 27, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Also practisesNEUROSURGERY
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 1991 (35 years in practice)
Group practice Ucsf Medical Group Business Services — 1531 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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