| Bristol Park Medical Group, Inc | |
|
2742 Dow Ave Tustin CA 92780-7242 | |
| (714) 665-1661 | |
| (714) 665-1669 |
| Full Name | Bristol Park Medical Group, Inc |
|---|---|
| Speciality | Exclusive Provider Organization |
| Location | 2742 Dow Ave, Tustin, 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 2742 Dow Ave Tustin CA 92780-7242 Ph: (714) 665-1661 |
| NPI Number | 1548348113 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 10/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548348113 | NPI | - | NPPES |
| GR0069197 | Medicaid | CA | |
| GR006919J | Medicaid | CA | |
| GR006919A | Medicaid | CA | |
| GR006919H | Medicaid | CA | |
| GR0069190 | Medicaid | CA | |
| GR0069196 | Medicaid | CA | |
| GR0069198 | Medicaid | CA | |
| GR006919G | Medicaid | CA | |
| GR0069199 | Medicaid | CA | |
| GR006919B | Medicaid | CA | |
| GR0069194 | Medicaid | CA |
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