Organization
BRUCE PARK, MD
Active
Organization
BRUCE PARK, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE S PARK MD (OWNER)
(714) 562-0542
Entity
Organization
Contact information
Practice address
7872 WALKER ST, SUITE 108, LA PALMA, CA 90623-1796
(714) 562-0542
Mailing address
PO BOX 3430, CERRITOS, CA 90703-3430
(714) 562-0542
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A64842
CA
Other
Enumeration date
11/16/2006
Last updated
08/22/2020
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