Scott Grant in Fullerton - Retina Specialist

Scott Grant - NPI 1194762310

Scott Grant is a Retina Specialist in Fullerton, California. Scott Grant practices all healthcare services and medical treatments related to Retina Specialist. The NPI Number for Scott Grant is 1194762310. The last update date is 2017-04-21.

Scott Grant's current location address is 301 W Bastanchury Rd, Fullerton, California. You can contact this provider via phone number 7147384620 and fax number 7147380388. The mailing address for Scott Grant is 301 W Bastanchury Rd, Fullerton, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Scott Grant
Address 301 W Bastanchury Rd, Fullerton, California
Phone Number 7147384620
Fax Number 7147380388
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1194762310
Provider Enumeration Date 2006-05-31
Last Updated Date 2017-04-21

Provider Mailing Address Detail

Address 301 W Bastanchury Rd
City Fullerton
State California (CA)
Post Code 928353419
Phone Number 7147384620
Fax Number 7147380388

Provider's Primary Taxonomy Detail

Speciality Retina Specialist
Taxonomy 207Wx0107X
Licence No G32479
Definition:
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

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FAQs about Scott Grant

What is the unique provider identifier assigned to Scott Grant?

The Scott Grant has been issued the NPI (National Provider Identifier) 1194762310 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Scott Grant's facilities are situated?

The facilities of Scott Grant are physically located at the following address: 301 W Bastanchury Rd, Fullerton, CA, 928353419.

What is the Scott Grant's specialty and taxonomy code?

The Scott Grant's specialty is Retina Specialist, and the corresponding taxonomy code is 207Wx0107X.

On what date did the Centers for Medicare & Medicaid Services issue the 1194762310 to Scott Grant?

The Scott Grant received its 1194762310 assignment from the Centers for Medicare & Medicaid Services on 2006-05-31.

As of what date were the Scott Grant's details last updated?

The information pertaining to the Scott Grant, including its address, specialty, and other details, was most recently updated on 2017-04-21.

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