MEDICARE: DR. MICHAEL PARMLEY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	A65290	CA

General Provider Information

NPI Number	:	1609873074
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL PARMLEY M.D.

Provider Business Mailing Address
First Line	:	6236 THORNTON AVE
Second Line	:
City	:	NEWARK
State	:	CA
Zip	:	94560-3732
Country	:	US
Telephone Number	:	510-248-1860
Fax Number	:	510-797-0236

Provider Business Practice Location Address
First Line	:	6236 THORNTON AVE
Second Line	:
City	:	NEWARK
State	:	CA
Zip	:	94560-3732
Country	:	US
Telephone Number	:	510-248-1860
Fax Number	:	510-797-0236

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	12/17/2021

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