Bristol Park Medical Group, Inc.

LBN: Bristol Park Medical Group, Inc.
Bristol Park Medical Group, Inc. is an health care organization with primary practice located at 1212 W 17Th St , Santa Ana CA 92706-3418. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Suppliers / Durable Medical Equipment & Medical Supplies. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Bristol Park Medical Group, Inc. can be contacted via phone (714) 954-0432, or through Schafer, Mark D via phone (714) 665-1661.

Contact Information

Primary practice address
1212 W 17Th St Santa Ana CA 92706-3418
Phone: (714) 954-0432
Fax: (714) 796-6265
Website:
Map and Directions
Authorized official contact:
Name: Schafer, Mark D Doctor of Medicine (MD)
Phone: (714) 665-1661

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1275580995
LBN Legal business name Bristol Park Medical Group, Inc.
DBA Doing business as
Authorized official Schafer, Mark D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 28th, 2006
Last updated Oct 15th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275580995 NPPES
California MEDICAID GR006919H

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