SearchCaliforniaSports Medicine (Orthopaedic Surgery) Physician

Corey Fuller, MD

NPI 1053637694 · on the registry since 2010

Practice

Address
25455 Barton Rd Ste 102b
Loma Linda, CA 92354
Phone
(909) 558-6444
Fax
(909) 558-6118
Organisation at this address
Loma Linda University
Dental Faculty Associates
Welebir Dental Corporation
Teresa P. Avants, M.D., Inc.
Faculty Medical Group Of Llusm
Inferred from a shared address, not stated in the registry.
Clinicians at this address
125

Additional practice sites

  • 450 N Graham St, Portland, OR

Registry record

Primary taxonomy
Sports Medicine (Orthopaedic Surgery) Physician
207XX0005X
Also registered as
Orthopaedic Surgery Physician
Orthopaedic Surgery Physician
Licence states on file
CA, OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-03-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California