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Organization
SCOTT W MCINNIS MD INC
Active
Organization
SCOTT W MCINNIS MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT W MCINNIS M.D. (PRESIDENT)
(800) 883-7243
Entity
Organization
Contact information
Practice address
15141 WHITTIER BLVD, SUITE 130, WHITTIER, CA 90603-2135
(562) 945-2832
Mailing address
210 N TUSTIN AVE, SANTA ANA, CA 92705-3807
(800) 883-7243
(714) 647-1245
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G71029
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G710290
—
CA
Enumeration date
09/21/2006
Last updated
10/20/2009
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