Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bruce S Park, MD

Individual provider Dermatology Physician · NPI 1841378825

Bruce S Park, MD is a Dermatology in Fullerton, California. Graduated from Drexel University College of Medicine in 1996, 30 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
30
Trained at
Drexel University College of Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1966 E Chapman Ave Ste G
Fullerton, CA 92831-4141
Phone: (714) 525-0545
Fax: (714) 441-1821
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence A64842 (CA)

Record details

NPI number1841378825
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 1, 2006
Last updated in NPPESMarch 19, 2020
Certification dateMarch 19, 2020
Mailing address1966 E Chapman Ave Ste G, Fullerton, CA 92831-4141

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolDREXEL UNIVERSITY COLLEGE OF MEDICINE
Graduated 1996 (30 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fullerton