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Shad Fossen
NPI 1992823264 · on the registry since 2007
Practice
- Address
- 456 Elm Ave
Long Beach, CA 90802 - Phone
- (562) 437-6717
- Fax
- (562) 590-6012
- Organisation at this address
- Mha Village
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 282
Registry record
- Primary taxonomy
- 225400000X
225400000X
- Sex
- Male
- Record last updated
- 2013-05-24
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