Bristol Park Medical Group
Non-pharmacy Dispensing Site
722 Baker St, Costa Mesa
California, 92626-4320
714-557-6300 Bristol Park Medical Group is a Non-pharmacy Dispensing Site in Costa Mesa, California. This organization is also known as sub part of Medvantx, Inc.. It is located at 722 Baker St, Costa Mesa and it's customer support contact number is 714-557-6300. The authorized person of Bristol Park Medical Group is Kenny Heine who is Director Of Operations of the pharmacy and his contact number is 858-625-2990. Active license number of Bristol Park Medical Group is A87971 for Non-pharmacy Dispensing Site in California.
Bristol Park Medical Group is 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.)
Pharmacy Details:
Bristol Park Medical Group type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Bristol Park Medical Group |
| Type: | Non-pharmacy Dispensing Site |
| Location: | 722 Baker St, Costa Mesa,
California, 92626-4320 |
| Phone: | 714-557-6300 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Kenny Heine |
| Position: | Director Of Operations |
| Contact Number: | 858-625-2990 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1881736445 |
| Parent Organization: | Medvantx, Inc. |
| NPI Enumeration Date: | 12 Feb, 2007 |
| NPI Last Update On: | 29 May, 2009 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bristol Park Medical Group are as mentioned below.
| Specialization | License Number | State | Status | |
| Non-pharmacy Dispensing Site | A87971 | California | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 5810 Nancy Ridge Dr,
San Diego, California |
| Zip: | 92121-2834 |
| Phone Number: | 858-625-2990 |
Patients can reach Bristol Park Medical Group at
722 Baker St, Costa Mesa, California or can
call on customer care at 714-557-6300.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.