Bristol Park Medical Group is not a DME supplier for medicare equipments and products.
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
Fax Number:
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Patients can reach Bristol Park Medical Group at 722 Baker St, Costa Mesa, California or can call on customer care at 714-557-6300.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.
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