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Jack Fuller, PA-C
NPI 1376596668 · on the registry since 2006
Practice
- Address
- 1225 Wilshire Boulevard
Los Angeles, CA 90017 - Phone
- (213) 977-2423
- Fax
- (213) 202-7028
- Organisation at this address
- None
Brian Lee, M.D., Inc.
Pih Health Physicians
Deming Chau, M.D., Inc.
Arthur Klein, M.D., ApcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 129
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-09
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