Bruce Park, MD
Organization Active NPI Dermatology Physician · La Palma, CA
NPI 1932272846 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1932272846
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dermatology Physician 207N00000X
- License
- A64842 (CA)
- Legal business name
- BRUCE PARK, MD
- Practice address
- 7872 Walker St
Suite 108
La Palma, CA 90623-1796 - Phone
- (714) 562-0542
- NPI assigned
- Nov 16, 2006
- Organization subpart
- No
Authorized official
- Name
- Bruce S Park, MD
- Title
- Owner
- Phone
- (714) 562-0542
Practitioners 1
-
Bruce S Park, MD
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician |
207N00000X | A64842 | CA | Yes |
Addresses
Primary practice location
7872 Walker St
Suite 108
La Palma, CA 90623-1796
Mailing address
PO Box 3430
Cerritos, CA 90703-3430
Phone (714) 562-0542
Other providers in La Palma, CA
- Morgan Boggs
- Jacquelyn Gabrielle Bolton
- Desiree Boyd
- Ji-Ya Dior Bridges-Smith
- Jackelyn Brovdwiack
- Kasey Leigh Brunkow
- Reyna Buenrostro
- Steve Bui
- Brianna Nicole Burke
- Makalah Bush
All providers in La Palma, CA · Dermatology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.