Bruce Park, M.D. A Professional Corporation in Fullerton - Dermatology
Bruce Park, M.D. A Professional Corporation - NPI 1851478358
Bruce Park, M.D. A Professional Corporation is a Dermatology in Fullerton, California. Bruce Park, M.D. A Professional Corporation practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Bruce Park, M.D. A Professional Corporation is 1851478358. The last update date is 2014-06-05.
Bruce Park, M.D. A Professional Corporation's current location address is 1966 E Chapman Ave, Fullerton, California. You can contact this provider via phone number 7145620542. The mailing address for Bruce Park, M.D. A Professional Corporation is 1966 E Chapman Ave, Fullerton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bruce Park, M.D. A Professional Corporation |
|---|---|
| Address | 1966 E Chapman Ave, Fullerton, California |
| Phone Number | 7145620542 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Park S Bruce |
| Credentials | M.D. |
| Telephone Number | 7145250545 |
NPI Number Detail
| NPI Number | 1851478358 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2014-06-05 |
Provider Mailing Address Detail
| Address | 1966 E Chapman Ave |
|---|---|
| City | Fullerton |
| State | California (CA) |
| Post Code | 928314142 |
| Phone Number | 7145620542 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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What is the unique 10-digit identifier code issued to Bruce Park, M.D. A Professional Corporation by the Centers for Medicare & Medicaid Services?
The Bruce Park, M.D. A Professional Corporation has been assigned the NPI (National Provider Identifier) 1851478358 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Bruce Park, M.D. A Professional Corporation?
The Bruce Park, M.D. A Professional Corporation is situated at 1966 E Chapman Ave, in the city of Fullerton, state of CA, with the zip code 928314142.
What is Bruce Park, M.D. A Professional Corporation's area of expertise and its corresponding taxonomy classification?
The Bruce Park, M.D. A Professional Corporation's field of specialization is Dermatology, and it falls under the taxonomy code 207N00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1851478358 to Bruce Park, M.D. A Professional Corporation?
The Centers for Medicare & Medicaid Services originally issued the 1851478358 to Bruce Park, M.D. A Professional Corporation on 2006-11-01.
As of what date was the information regarding Bruce Park, M.D. A Professional Corporation, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Bruce Park, M.D. A Professional Corporation, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-06-05.
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