Gazzaniga, Michael Scott
Gazzaniga, Michael Scott is an individual health care provider with primary practice located at 301 W Bastanchury Rd #180 , Fullerton CA 92835. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Gazzaniga, Michael Scott can be contacted via phone (714) 870-5970.Contact Information
Primary practice address
301 W Bastanchury Rd #180
Fullerton CA 92835
Phone: (714) 870-5970
Fax: (714) 870-4792
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | A65760 | California |
Profile Details
| NPI number | 1396858163 |
|---|---|
| LBN Legal business name | Gazzaniga, Michael Scott |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2006 |
| Last updated | Oct 15th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396858163 | NPPES |
| California | MEDICAID | 00A65700 |
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