Fullerton Gyn Assoc.
Obstetrics & Gynecology, Gynecology in Fullerton, CA. Organization (NPI-2).
NPI number1780752659
StatusActive
Last updated in NPPESApr 12, 2011
Details
- NPI
- 1780752659
- Entity type
- Organization (NPI-2)
- Legal business name
- Fullerton Gyn Assoc.
- Organization subpart
- No
- Enumeration date
- Dec 1, 2006
- Last updated
- Apr 12, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207VG0400X | Obstetrics & Gynecology, Gynecology | G5122 | CA | Yes |
Practice location
301 W Bastanchury Rd#170
Fullerton, CA 92835-3419
Phone 714-879-6571 · Fax 714-446-9140
Mailing address
301 W Bastanchury Rd#170
Fullerton, CA 92835-3419
Phone 714-879-6571 · Fax 714-446-9140
Authorized official
Nathan E Scott
Owner- Ceo
7148796571
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