Fullerton Orthopaedic Surgery Medical Group, Inc. in Yorba Linda - Specialist
Fullerton Orthopaedic Surgery Medical Group, Inc. - NPI 1619152550
Fullerton Orthopaedic Surgery Medical Group, Inc. is a Specialist in Yorba Linda, California. Fullerton Orthopaedic Surgery Medical Group, Inc. practices all healthcare services and medical treatments related to Specialist. The NPI Number for Fullerton Orthopaedic Surgery Medical Group, Inc. is 1619152550. The last update date is 2009-06-24.
Fullerton Orthopaedic Surgery Medical Group, Inc.'s current location address is 17021 Yorba Linda Blvd Ste 100, Yorba Linda, California. You can contact this provider via phone number 7149966440 and fax number 7149965831. The mailing address for Fullerton Orthopaedic Surgery Medical Group, Inc. is 17021 Yorba Linda Blvd Ste 100, Yorba Linda, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fullerton Orthopaedic Surgery Medical Group, Inc. |
|---|---|
| Address | 17021 Yorba Linda Blvd Ste 100, Yorba Linda, California |
| Phone Number | 7149966440 |
| Fax Number | 7149965831 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Shanfield L Stewart |
| Credentials | M.D. |
| Telephone Number | 7148790050 |
NPI Number Detail
| NPI Number | 1619152550 |
|---|---|
| Provider Enumeration Date | 2008-01-09 |
| Last Updated Date | 2009-06-24 |
Provider Mailing Address Detail
| Address | 17021 Yorba Linda Blvd Ste 100 |
|---|---|
| City | Yorba Linda |
| State | California (CA) |
| Post Code | 928863715 |
| Phone Number | 7149966440 |
| Fax Number | 7149965831 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | G45883 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| W1365 | CA | MEDICARE ID - TYPE UNSPECIFIED |
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What is the Fullerton Orthopaedic Surgery Medical Group, Inc.'s unique identification number?
The Fullerton Orthopaedic Surgery Medical Group, Inc. has been assigned the NPI (National Provider Identifier) Number 1619152550 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Fullerton Orthopaedic Surgery Medical Group, Inc. is physically located?
The Fullerton Orthopaedic Surgery Medical Group, Inc. is physically situated at the following address: 17021 Yorba Linda Blvd Ste 100, Yorba Linda, CA, 928863715.
What is the Fullerton Orthopaedic Surgery Medical Group, Inc.'s specialty and taxonomy code?
The Fullerton Orthopaedic Surgery Medical Group, Inc.'s specialty is Specialist, and the corresponding taxonomy code is 174400000X.
When did Fullerton Orthopaedic Surgery Medical Group, Inc. receive its 1619152550 assignment?
The Fullerton Orthopaedic Surgery Medical Group, Inc. was assigned its 1619152550 on 2008-01-09, which is the date when this unique identifier was issued to the organization.
As of what date were the Fullerton Orthopaedic Surgery Medical Group, Inc.'s details last updated?
The information pertaining to the Fullerton Orthopaedic Surgery Medical Group, Inc., including its address, specialty, and other details, was most recently updated on 2009-06-24.
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