Park, Bruce S

Park, Bruce S is an sole proprietor health care provider with primary practice located at 1966 E Chapman Ave Ste G , Fullerton CA 92831-4141. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Park, Bruce S can be contacted via phone (714) 525-0545.

Contact Information

Primary practice address
1966 E Chapman Ave Ste G Fullerton CA 92831-4141
Phone: (714) 525-0545
Fax: (714) 441-1821
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X A64842 California

Profile Details

NPI number 1841378825
LBN Legal business name Park, Bruce S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2006
Last updated Mar 19th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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