Cassidy, David Lee

Cassidy, David Lee is an individual health care provider with primary practice located at 18944 Mount Cimarron St , Fountain Valley CA 92708-7313. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Nuclear Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Cassidy, David Lee can be contacted via phone (714) 968-7706.

Contact Information

Primary practice address
18944 Mount Cimarron St Fountain Valley CA 92708-7313
Phone: (714) 968-7706
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X C28354 California
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X C28354 California
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X C28354 California

Profile Details

NPI number 1376591594
LBN Legal business name Cassidy, David Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Nov 27th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376591594 NPPES
California Other 00C283540 BLUE SHIELD
California MEDICAID 00C283540 BLUE SHIELD
California Other 00C283540221 BLUE SHIELD

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