Organization
BRUCE PARK, M.D. A PROFESSIONAL CORPORATION
Active
Other names
bruce park md
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE S PARK M.D. (CEO)
(714) 525-0545
Entity
Organization
Contact information
Practice address
1966 E CHAPMAN AVE, SUITE G, FULLERTON, CA 92831-4142
(714) 525-0545
Mailing address
1966 E CHAPMAN AVE, SUITE G, FULLERTON, CA 92831-4142
(714) 562-0542
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
11/01/2006
Last updated
06/05/2014
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