Mayo, George L.

Mayo, George L. is an individual health care provider with primary practice located at 16543 Brookhurst St. , Fountain Valley CA 92708. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Mayo, George L. can be contacted via phone (714) 531-6296.

Contact Information

Primary practice address
16543 Brookhurst St. Fountain Valley CA 92708
Phone: (714) 531-6296
Fax: (714) 531-6236
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X G83501 California

Profile Details

NPI number 1265591994
LBN Legal business name Mayo, George L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2006
Last updated Aug 1st, 2008 - about 16 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 1265591994 NPPES
California Other WG83501A PTAN

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