Individual
BRUCE S PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1966 E CHAPMAN AVE STE G, FULLERTON, CA 92831-4141
(714) 525-0545
(714) 441-1821
Mailing address
1966 E CHAPMAN AVE STE G, FULLERTON, CA 92831-4141
(714) 525-0545
(714) 441-1821
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A64842
CA
Other
Enumeration date
11/01/2006
Last updated
03/19/2020
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