Bruce Park, M.D. A Professional Corporation
NPI 1851478358ActiveOrganization· Dermatology· Fullerton, CA
Dermatology in Fullerton, California, registered in NPPES in November 2006. The authorized official on file is Bruce S. Park, M.D., Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1851478358 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 1, 2006 |
| Last updated in NPPES | Jun 5, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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