Fuller, Donald B

Fuller, Donald B is an individual health care provider with primary practice located at 3366 5Th Ave , San Diego CA 92103-5713. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Fuller, Donald B can be contacted via phone (619) 230-0400.

Contact Information

Primary practice address
3366 5Th Ave San Diego CA 92103-5713
Phone: (619) 230-0400
Fax: (858) 429-7936
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G62532 California
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X G62532 California

Profile Details

NPI number 1285632711
LBN Legal business name Fuller, Donald B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Mar 7th, 2023 - about last year

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 1285632711 NPPES
California Other G62532 STATE LICENSE
California MEDICAID 00G625320 STATE LICENSE

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