Organization
FREDERICK L.STAFFORD M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GABRIELLE SALUD ADMIN (ADMIN/BUSINESS MANAGER)
(562) 427-1322
Entity
Organization
Contact information
Practice address
25431 CABOT RD STE 107, LAGUNA HILLS, CA 92653-5526
(562) 427-1322
(562) 427-2255
Mailing address
25431 CABOT RD STE 107, LAGUNA HILLS, CA 92653-5526
(562) 427-1322
(562) 427-2255
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
07/06/2011
Last updated
09/16/2024
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