Stafford, Frederick Lamarr

Stafford, Frederick Lamarr is an individual health care provider with primary practice located at 701 E 28Th Street Suite 416, Long Beach CA 90806. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Stafford, Frederick Lamarr can be contacted via phone (562) 427-1322.

Contact Information

Primary practice address
701 E 28Th Street Suite 416 Long Beach CA 90806
Fax: (562) 427-2255
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X G57932 California

Profile Details

NPI number 1013975028
LBN Legal business name Stafford, Frederick Lamarr
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated Mar 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013975028 NPPES
California MEDICAID 006579320

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