| Edwin B Fuller, MD | |
|
655 Euclid Ave, Suite 301, National City, CA 91950-2957 | |
| (619) 267-3020 | |
| (619) 267-4042 |
| Full Name | Edwin B Fuller |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 655 Euclid Ave, National City, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306846498 | NPI | - | NPPES |
| C26937 | Other | CA | STATE LICENSE |
| 00C269370 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | C26937 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Edwin B Fuller, MD 655 Euclid Ave, Suite 301, National City, CA 91950-2957 Ph: (619) 267-3020 | Edwin B Fuller, MD 655 Euclid Ave, Suite 301, National City, CA 91950-2957 Ph: (619) 267-3020 |
Harry R Boffman Jr., Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 655 Euclid Ave, Suite 301, National City, CA 91950 Phone: 619-267-3020 Fax: 619-267-4042 | |
Michael John Cummings, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 3142 E Plaza Blvd Ste T, National City, CA 91950 Phone: 800-242-0880 |