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Mr. Jack G. Fuller, PA-C
Physician Assistant in Los Angeles, California
NPI 1376596668

Jack G. Fuller is a Physician Assistant based in Burbank, CA. Jack G. Fuller practices in Los Angeles, CA and has the professional credentials of PA-C. The NPI Number for Jack G. Fuller is 1376596668 and holds a License No. PA12536 (California).

The current practice location address for Jack G. Fuller is 1225 Wilshire Boulevard, Los Angeles, CA and can be reached out via phone at 213-977-2423 and via fax at 213-202-7028.

Location: 1225 Wilshire Boulevard, Los Angeles, CA, 91505-5019
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376596668
Provider Name
Jack G. Fuller
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1225 Wilshire Boulevard, Los Angeles, CA, 91505-5019
Phone Number
213-977-2423
Fax Number
213-202-7028
Provider Enumeration Date
05/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00198638 01 CA GOOD SAMARITAN RAILROAD
PA12536 05 CA
institution
Provider Business Practice Location Address Details
Address
1225 Wilshire Boulevard
City
Los Angeles
State
California
Zip
90017-2395
Phone Number
213-977-2423
Fax Number
213-202-7028
person
Provider Business Mailing Address Details
Address
1225 Wilshire Boulevard
City
Los Angeles
State
California
Zip
90017-2395
Phone Number
213-977-2423
Fax Number
213-202-7028
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
PA12536 (California)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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