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BRISTOL PARK MEDICAL GROUP INC NPI 1689621260


NPI Information

NPI: 1689621260
Provider Name: BRISTOL PARK MEDICAL GROUP, INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
11420 WARNER AVE
FOUNTAIN VALLEY, CA
ZIP 92708
Phone: (714) 549-1300
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BRISTOL PARK MEDICAL GROUP, INC is a family medicine in Fountain Valley, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BRISTOL PARK MEDICAL GROUP, INC NPI is 1689621260. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

11420 WARNER AVE
FOUNTAIN VALLEY, CA
ZIP 92708-529
Phone: (714) 549-1300
Fax: (949) 798-4406

The provider's authorized official is Mark D Schafer .
The authorized official title is Medical Director and has the following contact phone number (714) 665-1661.

The enumeration date for this NPI number is 5/28/2006 and was last updated on 10/15/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineNo
2208000000XPediatricsNo
3332B00000XDurable Medical Equipment & Medical SuppliesNo
4207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR0069197MEDICAIDCALIFORNIA
21046350004MEDICARE NSCCALIFORNIA
3W684BMEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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