Bryant Health, P.c. | |
23653 El Toro Rd Ste B Lake Forest CA 92630-8614 | |
(949) 455-4920 | |
Not Available |
Full Name | Bryant Health, P.c. |
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Speciality | Clinic/Center |
Location | 23653 El Toro Rd Ste B, Lake Forest, California |
Authorized Official Name and Position | Andrew Chunkil Park (PRESIDENT) |
Authorized Official Contact | 9492295561 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bryant Health, P.c. 23653 El Toro Rd Ste B Lake Forest CA 92630-8614 Ph: (949) 455-4920 | Bryant Health, P.c. 23653 El Toro Rd Ste B Lake Forest CA 92630-8614 Ph: (949) 455-4920 |
NPI Number | 1427644038 |
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Provider Enumeration Date | 12/17/2020 |
Last Update Date | 08/27/2021 |
Medicare PECOS PAC ID | 3971917865 |
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Medicare Enrollment ID | O20210204002336 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427644038 | NPI | - | NPPES |
Provider Name | Peter E Wu |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1023193117 PECOS PAC ID: 0143273805 Enrollment ID: I20050223000217 |
Provider Name | Andrew Park |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1982137519 PECOS PAC ID: 9739412677 Enrollment ID: I20200220002233 |
Provider Name | Feng Xiao |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649800913 PECOS PAC ID: 7214366418 Enrollment ID: I20200409002679 |
Provider Name | Sobia Syed |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437747409 PECOS PAC ID: 4486053220 Enrollment ID: I20210526003434 |
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