Individual
PATRICK L. FITZGIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 E VALENCIA MESA DR, FULLERTON, CA 92835-3809
(714) 446-7505
(714) 446-7546
Mailing address
PO BOX 749241, LOS ANGELES, CA 90074-9241
(714) 446-7505
(714) 446-7546
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
G48387
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G48387
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G483870
—
CA
Enumeration date
05/18/2006
Last updated
05/05/2015
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