Active NPI
Bryant Health, P.C.
- Urgent Care Clinic/Center
- Lake Forest, CA
National Provider Identifier
1427644038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- BRYANT HEALTH, P.C.
- Doing business as
- Bryant Health, P.C.
- Practice address
- 23653 El Toro Rd Ste B
Lake Forest, CA 92630-8614 - Phone
- (949) 455-4920
- NPI assigned
- Dec 17, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrew Chunkil Park, MD
- Title
- President
- Phone
- (949) 229-5561
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Psychiatry Physician | 2084P0800X | |||
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
23653 El Toro Rd Ste B
Lake Forest, CA 92630-8614
Mailing address
23653 El Toro Rd Ste B
Lake Forest, CA 92630-8614
Phone (949) 455-4920
Other practice location 1
141 Sanctuary
Irvine, CA 92620-3869
Phone (949) 229-5561
Other names 1
- Bryant Health, P.C.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608163200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1630022400000",
"number": "1427644038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23653 EL TORO RD STE B",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926308614",
"telephone_number": "949-455-4920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23653 EL TORO RD STE B",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926308614",
"telephone_number": "949-455-4920"
}
],
"practiceLocations": [
{
"address_1": "141 Sanctuary",
"address_purpose": "LOCATION",
"city": "Irvine",
"state": "CA",
"postal_code": "926203869",
"country_code": "US",
"telephone_number": "949-229-5561",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BRYANT HEALTH, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-17",
"last_updated": "2021-08-27",
"certification_date": "2021-08-27",
"status": "A",
"authorized_official_last_name": "PARK",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "CHUNKIL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "949-229-5561",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bryant Health, P.C.",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Bryant Health, P.C.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lake Forest, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.