Michelle Fuller

NPI 1710740105 · on the registry since 2024 · sole proprietor

Practice

Address: 19712 Macarthur Blvd Ste 110
Irvine, CA 92612
Phone: (714) 468-5578
Organisation at this address: Serendipity
Marta Long Md
Ethera Oc Llc
Ethera Care Inc
Sweet Shade Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 102

Registry record

Primary taxonomy: 106H00000X
106H00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-01-30

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