Individual
DR. JOHN A SCOLARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 THE CITY DR S, BUILDING 29A, PAV III - 2ND FLOOR, ORANGE, CA 92868-3201
(714) 456-3478
Mailing address
101 THE CITY DR S, BUILDING 29A, PAV III - 2ND FLOOR, ORANGE, CA 92868-3201
(714) 456-3478
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD60263519
WA
207XX0801X
Orthopaedic Trauma Physician
Primary
MD60263519
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0293947
L&I
WA
05
—
1790983476
—
WA
01
—
8909595
MEDICARE
WA
01
—
MD60263519
MEDICAL LICENSE
WA
Enumeration date
07/05/2007
Last updated
09/18/2014
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