| Cole Marie Fulwider, MD | |
|
3772 Katella Ave., Suite 206, Los Alamitos, CA 90720-6428 | |
| (562) 430-4294 | |
| (562) 493-3573 |
| Full Name | Cole Marie Fulwider |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 48 Years |
| Location | 3772 Katella Ave., Los Alamitos, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033188560 | NPI | - | NPPES |
| G37354A | Other | CA | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | G37354 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vipal Soni Md Inc | 0345378113 | 5 |
| Entity Name | Howard Fein Md Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073795266 PECOS PAC ID: 4082678305 Enrollment ID: O20041116001302 |
| Entity Name | Patient Preferred Dermatology Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851459234 PECOS PAC ID: 9537262258 Enrollment ID: O20070316000152 |
| Entity Name | Vipal Soni Md Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962726331 PECOS PAC ID: 0345378113 Enrollment ID: O20100514000818 |
| Entity Name | Advanced Skincare Physician Assistant Corporation Pac |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245830389 PECOS PAC ID: 3173938636 Enrollment ID: O20210215000001 |
| Mailing Address | Practice Location Address |
|---|---|
| Cole Marie Fulwider, MD 3772 Katella Ave., Suite 206, Los Alamitos, CA 90720-6428 Ph: (562) 430-4294 | Cole Marie Fulwider, MD 3772 Katella Ave., Suite 206, Los Alamitos, CA 90720-6428 Ph: (562) 430-4294 |
Mark F. Maida, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3772 Katella Ave, #206, Los Alamitos, CA 90720 Phone: 562-430-4294 | |
Michael P. Tabibian, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3801 Katella Ave, Ste 430, Los Alamitos, CA 90720 Phone: 562-799-3330 Fax: 562-799-3399 | |
Laura A King, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3772 Katella Ave., Suite 206, Los Alamitos, CA 90720 Phone: 562-430-4294 Fax: 562-493-3573 | |
Thinh Chau, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4281 Katella Ave Ste 220, Los Alamitos, CA 90720 Phone: 562-252-0173 Fax: 949-783-2845 | |
Elisa K. Yoo, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3801 Katella Ave, Suite 414, Los Alamitos, CA 90720 Phone: 562-430-9900 Fax: 562-430-6069 | |
Renee Stroffe, PA-C Dermatology Medicare: Not Enrolled in Medicare Practice Location: 3801 Katella Ave Ste 414, Los Alamitos, CA 90720 Phone: 562-430-9900 |