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Contact Information

BIG SUR MEDICAL CORPORATION
10760 WARNER AVENUE
201
FOUNTAIN VALLEY, CA92708
 Phone: 714-593-5356
 Fax: 714-593-5366
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for BIG SUR MEDICAL CORPORATION · (Female)

NPI Number 1952344640
Status Active
Credentials
Entity Individual
Enumeration date 06/13/2006
Last updated 11/06/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # A94411
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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