| Fullerton Neurology And Headache Center | |
|
100 Laguna Rd Suite 208 Fullerton CA 92835-3633 | |
| (714) 738-0800 | |
| (714) 738-3758 |
| Full Name | Fullerton Neurology And Headache Center |
|---|---|
| Speciality | Physician Assistant |
| Location | 100 Laguna Rd, Fullerton, California |
| Authorized Official Name and Position | Karen L Young (ADMINISTRATOR) |
| Authorized Official Contact | 7147380800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fullerton Neurology And Headache Center 100 Laguna Rd #208 Fullerton CA 92835-3633 Ph: (714) 738-0800 | Fullerton Neurology And Headache Center 100 Laguna Rd Suite 208 Fullerton CA 92835-3633 Ph: (714) 738-0800 |
| NPI Number | 1235218488 |
|---|---|
| Provider Enumeration Date | 11/06/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1153310701 |
|---|---|
| Medicare Enrollment ID | O20040508000416 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235218488 | NPI | - | NPPES |
| Provider Name | Jack H Florin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912990656 PECOS PAC ID: 1052300605 Enrollment ID: I20120125000646 |
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