Organization
FULLERTON ORTHOPAEDIC SURGERY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEWART L. SHANFIELD M.D. (PRESIDENT)
(714) 879-0050
Entity
Organization
Contact information
Practice address
101 LAGUNA RD, SUITE A, FULLERTON, CA 92835-3635
(714) 879-0050
(714) 879-0229
Mailing address
101 LAGUNA RD, SUITE A, FULLERTON, CA 92835-3635
(714) 879-0050
(714) 879-0229
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
FNP2831
CA
Other
Enumeration date
06/15/2006
Last updated
06/30/2009
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