Robert Maurer, | |
100 E Valencia Mesa Dr, Suite 105, Fullerton, CA 92835-3813 | |
(714) 992-3967 | |
Not Available |
Full Name | Robert Maurer |
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Gender | Male |
Speciality | Chiropractor - Occupational Health |
Location | 100 E Valencia Mesa Dr, Fullerton, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982605655 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111NX0100X | Chiropractor - Occupational Health | 20A4456 (California) | Primary |
Provider Name | Providence Medical Foundation |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Mailing Address | Practice Location Address |
---|---|
Robert Maurer, 279 Imperial Hwy, Suite 730, Fullerton, CA 92835-1041 Ph: (714) 449-4842 | Robert Maurer, 100 E Valencia Mesa Dr, Suite 105, Fullerton, CA 92835-3813 Ph: (714) 992-3967 |
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