Bristol Park Medical Group, INC

NPI #1386691004 in Irvine, California

Provider Information

NPI Number: 1386691004
Entity Type: Organization
Organization Name: Bristol Park Medical Group, INC
Primary Specialty: Family Medicine
Enumeration Date: May 28, 2006
Last Updated: Oct 15, 2008

Practice Location

Address: 250 E YALE LOOP
Address 2: SUITE 200
City: Irvine
State: California
ZIP Code: 92604-4697
Phone: (949) 551-1090

Authorized Official

Name: MR. MARK D SCHAFER, MD
Title: MEDICAL DIRECTOR
Phone: (714) 665-1661

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Pediatrics	208000000X
Durable Medical Equipment & Medical Supplies	332B00000X
Family Medicine	207Q00000X	Primary

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