Frederick L.Stafford M.D., INC.
Personal Emergency Response Attendant in Laguna Hills, CA. Organization (NPI-2).
NPI number1003003187
StatusActive
Last updated in NPPESSep 16, 2024
Details
- NPI
- 1003003187
- Entity type
- Organization (NPI-2)
- Legal business name
- Frederick L.Stafford M.D., INC.
- Organization subpart
- No
- Enumeration date
- Oct 2, 2007
- Certification date
- Sep 16, 2024
- Last updated
- Sep 16, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 146D00000X | Personal Emergency Response Attendant | G57932 | CA | Yes |
Practice location
25431 Cabot Rd Ste 107Laguna Hills, CA 92653-5526
Phone 562-427-1322 · Fax 562-427-2255
Mailing address
25431 Cabot Rd Ste 107Laguna Hills, CA 92653-5526
Phone 562-427-1322 · Fax 562-427-2255
Authorized official
Gabrielle Elizabeth Salud
Admin
5624271322
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