NPI 1457556326

Fullerton Gardens, LLC

Organisation Point of Service Fullerton, CA

Practice location

Address: 1510 E Commonwealth Ave, Fullerton, CA 92831-4026
Phone: (714) 441-2636
Fax: (714) 441-0313
Mailing address: 78 Centennial Loop, Eugene, OR 97401-7900

Authorised official

Name: John Holtz
Title: Controller
Phone: (541) 747-3373

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X

Other Point of Service providers in California →

Registry record

NPI: 1457556326
Entity type: Organization
NPI issued: 19 Jun 2007
Record last updated: 13 May 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.