Individual
DR. CATHERINE G FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11645 WILSHIRE BLVD, SUITE 1150, LOS ANGELES, CA 90025-1708
(310) 828-7978
(310) 909-1911
Mailing address
11645 WILSHIRE BLVD, SUITE 1150, LOS ANGELES, CA 90025-1708
(310) 828-7978
(310) 909-1911
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
A43782
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WA43782F
PTAN
CA
Enumeration date
05/05/2006
Last updated
07/08/2010
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