Organization · Type 2 NPI

Bristol Park Medical Group

Non-Pharmacy Dispensing Site · Costa Mesa, CA

NPI number 1881736445 Active

Practice location

722 Baker St
Costa Mesa, CA 92626-4320

Mailing address

5810 Nancy Ridge Dr
San Diego, CA 92121-2834

Specialties and licenses

TaxonomyCodeLicense
Non-Pharmacy Dispensing Site Primary 332900000XA87971 (CA)

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

10 other providers at this address

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About NPI 1881736445

Bristol Park Medical Group's National Provider Identifier is 1881736445, issued on Feb 12, 2007. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Costa Mesa, CA. The record was last updated on May 29, 2009.