| NPI | 1851478358 |
|---|---|
| Former Legal Business Name | BRUCE PARK MD |
| Entity Type | Organization |
| Authorized Contact | BRUCE S PARK CEO 714-525-0545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2014-06-05 |