| Bristol Park Medical Group, Inc. | |
|
16300 Sand Canyon Ave 4th Floor Irvine CA 92618-3711 | |
| (949) 552-4200 | |
| (949) 262-2300 |
| Full Name | Bristol Park Medical Group, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 16300 Sand Canyon Ave, Irvine, California |
| Authorized Official Name and Position | Mark D Schafer (CHIEF MEDICAL OFFICER) |
| 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. 16300 Sand Canyon Ave 4th Floor Irvine CA 92618-3711 Ph: (949) 552-4200 |
| NPI Number | 1740237460 |
|---|---|
| Provider Enumeration Date | 05/28/2006 |
| Last Update Date | 11/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740237460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
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