| Bristol Park Medical Group, Inc | |
|
250 E Yale Loop Suite 200 Irvine CA 92604-4697 | |
| (949) 551-1090 | |
| (949) 262-5500 |
| Full Name | Bristol Park Medical Group, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 250 E Yale Loop, Irvine, California |
| Authorized Official Name and Position | Mark D Schafer (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7146651661 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bristol Park Medical Group, Inc 2742 Dow Ave Tustin CA 92780-7242 Ph: (714) 665-1600 | Bristol Park Medical Group, Inc 250 E Yale Loop Suite 200 Irvine CA 92604-4697 Ph: (949) 551-1090 |
| NPI Number | 1386691004 |
|---|---|
| Provider Enumeration Date | 05/28/2006 |
| Last Update Date | 10/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386691004 | NPI | - | NPPES |
| GR006919B | Medicaid | CA |
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