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Search › California › 208G00000X

Clark Fuller, M.D

NPI 1790890341 · on the registry since 2006

Practice

Address
8635 W 3rd St
Suite 975w
Los Angeles, CA 90048
Phone
(310) 652-0530
Fax
(310) 652-9936
Organisation at this address
2020health
Pathcrs, Apc
Hart C.M. Cohen
Tower Urology Inc
Diagnostic Care Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
271

Registry record

Primary taxonomy
208G00000X
208G00000X
Also registered as
174400000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-04-19

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