Frederick L.stafford M.d., Inc. is a healthcare organization in the LONG BEACH area. Frederick L.stafford M.d., Inc. primary office location is at 701 E 28TH ST and new patients are welcome to contact this healthcare organization for an appointment. The NPI number is 1003003187 and the information was updated approximately 17 years ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: Unknown
Participates in PECOS: NO
License Number | State |
---|---|
G57932 | CA |
Type/Issuer | Identifier | State |
---|---|---|
MEDICAID | 00G579320 | CA |
Taxonomy | State | Primary? |
---|---|---|
Emergency Response Attendant - Taxonomy Code 146D00000X | CA | Y |
Single Specialty Group - Taxonomy Code 193400000X | CA | N |