Individual
DR. FREDERICK CLOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5565 GROSSMONT CTR DR, BLDG 3 STE 156, LAMESA, CA 91942
(619) 462-0900
(619) 462-3584
Mailing address
5565 GROSSMONT CTR DR, BLDG 3 STE 156, LAMESA, CA 91942
(619) 462-0900
(619) 462-3584
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
C36625
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C366250
—
CA
Enumeration date
08/30/2006
Last updated
11/24/2010
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