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Organization

FULLERTON GYN ASSOC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NATHAN E SCOTT MD (OWNER- CEO)
(714) 879-6571
Entity
Organization

Contact information

Practice address
301 W BASTANCHURY RD, #170, FULLERTON, CA 92835-3419
(714) 879-6571
(714) 446-9140
Mailing address
301 W BASTANCHURY RD, #170, FULLERTON, CA 92835-3419
(714) 879-6571
(714) 446-9140

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
G5122
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G5122
MEDICAL LISENCE
CA
Enumeration date
12/01/2006
Last updated
04/12/2011
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