Fullerton Orthopaedic Surgery Medical Group, Inc.
LBN: Fullerton Orthopaedic Surgery Medical Group, Inc.
Fullerton Orthopaedic Surgery Medical Group, Inc. is an health care organization with primary practice located at 17021 Yorba Linda Blvd Ste 100 , Yorba Linda CA 92886-3715. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty.
Fullerton Orthopaedic Surgery Medical Group, Inc. can be contacted via phone (714) 996-6440, or through Shanfield, Stewart L via phone (714) 879-0050.
Contact Information
Primary practice address
17021 Yorba Linda Blvd Ste 100
Yorba Linda CA 92886-3715
Phone: (714) 996-6440
Fax: (714) 996-5831
Website:
Authorized official contact:
Name: Shanfield, Stewart L Doctor of Medicine (MD)
Phone: (714) 879-0050
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | G45883 | California |
Profile Details
| NPI number | 1619152550 |
|---|---|
| LBN Legal business name | Fullerton Orthopaedic Surgery Medical Group, Inc. |
| DBA Doing business as | |
| Authorized official | Shanfield, Stewart L Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 9th, 2008 |
| Last updated | Jun 24th, 2009 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619152550 | NPPES |
| California | Other | W1365 | MEDICARE ID - TYPE UNSPECIFIED |
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