Debold, Lori A

Debold, Lori A is an individual health care provider with primary practice located at 18111 Brookhurst St Suite 1100, Fountain Valley CA 92708-6728. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Debold, Lori A can be contacted via phone (714) 861-4770.

Contact Information

Primary practice address
18111 Brookhurst St Suite 1100 Fountain Valley CA 92708-6728
Phone: (714) 861-4770
Fax: (714) 861-4771
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G66467 California

Profile Details

NPI number 1831194323
LBN Legal business name Debold, Lori A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated May 13th, 2015 - about 9 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 1831194323 NPPES
California Other 00G664670 MEDI CAL

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