BRISTOL PARK MEDICAL GROUP, INC

ALISO VIEJO, CA
NPI1437105509
Entity TypeOrganization
Authorized ContactMARK D SCHAFER
Medical Director
714-665-1600
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Additional Taxonomies207R00000X Internal Medicine
208000000X Pediatrics
332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date2006-05-26
Last Update Date2009-05-07
Business Address
BRISTOL PARK MEDICAL GROUP, INC
15 MAREBLU SUITE 100
ALISO VIEJO, CA 92656-3015
Phone number: 949-448-0656
Mailing Address
BRISTOL PARK MEDICAL GROUP, INC
2742 DOW AVE
TUSTIN, CA 92780-7242
Phone number: 714-665-1600