| Royce L. Hutain, M.d., Inc. | |
|
501 N Cornell Ave Fullerton CA 92831-2744 | |
| (714) 992-2730 | |
| (714) 992-1918 |
| Full Name | Royce L. Hutain, M.d., Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 501 N Cornell Ave, Fullerton, California |
| Authorized Official Name and Position | Royce L Hutain (OWNER/PRESIDENT) |
| Authorized Official Contact | 7149922730 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Royce L. Hutain, M.d., Inc. 501 N Cornell Ave Fullerton CA 92831-2744 Ph: (714) 992-2730 | Royce L. Hutain, M.d., Inc. 501 N Cornell Ave Fullerton CA 92831-2744 Ph: (714) 992-2730 |
| NPI Number | 1568490639 |
|---|---|
| Provider Enumeration Date | 06/29/2006 |
| Last Update Date | 02/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568490639 | NPI | - | NPPES |
| 8413039 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G35907 (California) | Primary |
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