Bruce Park, M.d. a Professional Corporation

NPI #1851478358 in Fullerton, California

Provider Information

NPI Number: 1851478358
Entity Type: Organization
Organization Name: Bruce Park, M.d. a Professional Corporation
Primary Specialty: Dermatology
Enumeration Date: Nov 1, 2006
Last Updated: Jun 5, 2014

Practice Location

Address: 1966 E CHAPMAN AVE
Address 2: SUITE G
City: Fullerton
State: California
ZIP Code: 92831-4142
Phone: (714) 525-0545

Authorized Official

Name: DR. BRUCE S PARK, M.D.
Title: CEO
Phone: (714) 525-0545

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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