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 722 Baker St , Costa Mesa CA 92626-4320. 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) 557-6300, or through Schafer, Mark D via phone (714) 665-1661.
Contact Information
Primary practice address
722 Baker St
Costa Mesa CA 92626-4320
Phone: (714) 557-6300
Fax: (714) 966-9567
Website:
Health care specialties
| Specialty | Code | License # | 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 | 1043266760 |
|---|---|
| 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 25th, 2006 |
| Last updated | Oct 15th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043266760 | NPPES |
| California | MEDICAID | GR0069199 |
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