Organization
FREDERICK L.STAFFORD M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIELLE ELIZABETH SALUD (ADMIN)
(562) 427-1322
Entity
Organization
Contact information
Practice address
25431 CABOT RD STE 107, LAGUNA HILLS, CA 92653-5526
(562) 427-1322
(562) 427-2255
Mailing address
25431 CABOT RD STE 107, LAGUNA HILLS, CA 92653-5526
(562) 427-1322
(562) 427-2255
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
G57932
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G579320
—
CA
Enumeration date
10/02/2007
Last updated
09/16/2024
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