| Illumination Foundation Medical Group | |
|
3535 W Commonwealth Ave Fullerton CA 92833-2821 | |
| (949) 273-0555 | |
| Not Available |
| Full Name | Illumination Foundation Medical Group |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 3535 W Commonwealth Ave, Fullerton, California |
| Authorized Official Name and Position | Nicole St. Claire (BILLING CONSULTANT) |
| Authorized Official Contact | 9496335535 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Illumination Foundation Medical Group 3535 W Commonwealth Ave Fullerton CA 92833-2821 Ph: (714) 402-2766 | Illumination Foundation Medical Group 3535 W Commonwealth Ave Fullerton CA 92833-2821 Ph: (949) 273-0555 |
| NPI Number | 1205444742 |
|---|---|
| Provider Enumeration Date | 07/21/2020 |
| Last Update Date | 06/09/2025 |
| Certification Date | 06/09/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205444742 | NPI | - | NPPES |
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