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FULLERTON PULMONARY & CRITICAL CARE INC NPI 1730368374


NPI Information

NPI: 1730368374
Provider Name: FULLERTON PULMONARY & CRITICAL CARE INC
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
1100 ALTA VISTA DR
FULLERTON, CA
ZIP 92835
Phone: (714) 871-1507
Get Directions

FULLERTON PULMONARY & CRITICAL CARE INC is a pulmonary disease internal medicine in Fullerton, CA. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. FULLERTON PULMONARY & CRITICAL CARE INC NPI is 1730368374. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1100 ALTA VISTA DR
FULLERTON, CA
ZIP 92835-027
Phone: (714) 871-1507
Fax: (949) 643-3560

The provider's authorized official is Panagiotis Plato Bougas .
The authorized official title is President and has the following contact phone number (714) 871-1507.

The enumeration date for this NPI number is 10/31/2007 and was last updated on 10/31/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RP1001XInternal MedicinePulmonary DiseaseG84424CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G84424OTHERSTATE LICENSE NUMBER
2F95268MEDICARE UPINCALIFORNIA
300G844240MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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