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 15 Mareblu Suite 100, Aliso Viejo CA 92656-3015. 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 (949) 448-0656, or through Schafer, Mark D via phone (714) 665-1600.
Contact Information
Primary practice address
15 Mareblu Suite 100
Aliso Viejo CA 92656-3015
Phone: (949) 448-0656
Fax: (949) 425-2465
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 | 1437105509 |
|---|---|
| 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 26th, 2006 |
| Last updated | May 7th, 2009 - about 15 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 | 1437105509 | NPPES |
| California | MEDICAID | GR006919J |
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