Shandi Joycelyn Fuller in Berkeley - Pediatrics
Shandi Joycelyn Fuller - NPI 1225285034
Shandi Joycelyn Fuller is a Pediatrics in Berkeley, California. Shandi Joycelyn Fuller practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Shandi Joycelyn Fuller is 1225285034. The last update date is 2022-06-14.
Shandi Joycelyn Fuller's current location address is 1918 Bonita Ave Ste 200, Berkeley, California. You can contact this provider via phone number 5109391300. The mailing address for Shandi Joycelyn Fuller is 1918 Bonita Ave Ste 200, Berkeley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shandi Joycelyn Fuller |
|---|---|
| Address | 1918 Bonita Ave Ste 200, Berkeley, California |
| Phone Number | 5109391300 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1225285034 |
|---|---|
| Provider Enumeration Date | 2008-08-22 |
| Last Updated Date | 2022-06-14 |
Provider Mailing Address Detail
| Address | 1918 Bonita Ave Ste 200 |
|---|---|
| City | Berkeley |
| State | California (CA) |
| Post Code | 947041014 |
| Phone Number | 5109391300 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | A117119 |
|
Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 97347 | NC | CERTIFICATION | |
| A117119 | CA | LICENSE |
Post Comment/ Review Below
What is the Shandi Joycelyn Fuller's unique identification number?
The Shandi Joycelyn Fuller has been assigned the NPI (National Provider Identifier) Number 1225285034 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 Shandi Joycelyn Fuller is physically located?
The Shandi Joycelyn Fuller is physically situated at the following address: 1918 Bonita Ave Ste 200, Berkeley, CA, 947041014.
What is the area of specialization for Shandi Joycelyn Fuller, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Shandi Joycelyn Fuller is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 208000000X.
When did Shandi Joycelyn Fuller receive its 1225285034 assignment?
The Shandi Joycelyn Fuller was assigned its 1225285034 on 2008-08-22, which is the date when this unique identifier was issued to the organization.
When was the Shandi Joycelyn Fuller's information last updated?
The Shandi Joycelyn Fuller's information was last updated on 2022-06-14.