Individual
FABIO CAPPUCCINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 THE CITY DR S, BUILDING 29, SUITE 501, ORANGE, CA 92868-3201
(714) 456-8000
(714) 456-8055
Mailing address
333 CITY BLVD W STE 1400, ORANGE, CA 92868-5900
(714) 456-6026
(714) 456-6632
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
A55863
CA
207VX0201X
Gynecologic Oncology Physician
MD23949
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286555
—
OR
01
—
33-0065688
OB GYN UNIVERSITY ASSOCIATES
CA
Enumeration date
07/31/2006
Last updated
03/22/2019
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