Individual
MR. SAMUEL MALDONADO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BOCO
Contact information
Practice address
2151 N. HARBOR BLVD, SUITE 1200, FULLERTON, CA 92835-3821
(714) 871-9960
(714) 871-9965
Mailing address
2151 N. HARBOR BLVD, SUITE 1200, FULLERTON, CA 92835-3821
(714) 871-9960
(714) 871-9965
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
C50102
CA
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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