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 2742 Dow Ave , Tustin CA 92780-7242. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Managed Care Organizations / Exclusive Provider Organization, Suppliers / Durable Medical Equipment & Medical Supplies. Managed Care Organizations / Exclusive Provider Organization is the primary health care specialty. Bristol Park Medical Group, Inc can be contacted via phone (714) 665-1661, or through Schafer, Mark D via phone (714) 665-1661.

Contact Information

Primary practice address
2742 Dow Ave Tustin CA 92780-7242
Phone: (714) 665-1661
Fax: (714) 665-1669
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
Managed Care Organizations / Exclusive Provider Organization 302F00000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1548348113
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 Nov 1st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548348113 NPPES
California MEDICAID GR0069197
California MEDICAID GR006919J
California MEDICAID GR006919A
California MEDICAID GR006919H
California MEDICAID GR0069190
California MEDICAID GR0069196
California MEDICAID GR0069198
California MEDICAID GR006919G
California MEDICAID GR0069199
California MEDICAID GR006919B
California MEDICAID GR0069194

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