Whalio Doctors

NPI 1548348113

Bristol Park Medical Group, INC

Organisation Exclusive Provider Organization Tustin, CA

Practice location

Address
2742 Dow Ave, Tustin, CA 92780-7242
Phone
(714) 665-1661
Fax
(714) 665-1669

Authorised official

Name
Mark D Schafer
Title
Medical Director
Phone
(714) 665-1661

Registered specialties (5)

Exclusive Provider Organization Primary
Managed Care Organizations Taxonomy 302F00000X
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X
Internal Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207R00000X
Pediatrics Physician
Allopathic & Osteopathic Physicians Taxonomy 208000000X
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X

Registry record

NPI
1548348113
Entity type
Organization
NPI issued
1 Nov 2006
Record last updated
15 Oct 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.