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Search › California › 207Q00000X

Susan Park

NPI 1114253515 · on the registry since 2009 · sole proprietor

Practice

Address
11420 Warner Ave
Fountain Valley, CA 92708
Phone
(714) 549-1300
Organisation at this address
Bristol Park Medical Group, Inc
Thuy Q. Pham Md, Pc Dba Avanta Health Medical Group
Inferred from a shared address, not stated in the registry.
Clinicians at this address
36

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-05-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California