Dr. David A. Fussell, M.D.
in Orange, CA. Individual provider (NPI-1).
NPI number1740449149
StatusActive
Last updated in NPPESJun 13, 2025
Details
- NPI
- 1740449149
- Entity type
- Individual (NPI-1)
- Name
- Dr. David A. Fussell
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 2, 2008
- Certification date
- Jun 13, 2025
- Last updated
- Jun 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085N0700X | A125979 | CA | Yes | |
| 174400000X | Specialist | – | – |
Practice location
101 The City Dr SOrange, CA 92868-3201
Phone 714-456-7237
Mailing address
630 W 168th St # Mc28New York, NY 10032-3725
Phone 212-305-6912 · Fax 212-305-5777
Other practice locations
622 W 168th St
New York, NY 10032-3720
New York, NY 10032-3720
Phone 212-305-6912 · Fax 212-305-5777
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