NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1316243769 |   |   |   | PROVIDENCE MEDICAL FOUNDATION | 2141 N HARBOR BLVD STE 35000 | FULLERTON | CA | 928353831 |
1235114950 | CHEN | CARL | C |   | 279 IMPERIAL HWY | FULLERTON | CA | 928351041 |
1366442998 | CONCOFF | ANDREW |   |   | 2141 N HARBOR BLVD STE 35000 | FULLERTON | CA | 928353831 |
1467409250 | DASKALAKIS | THEODOROS | MICHAEL |   | 279 IMPERIAL HWY | FULLERTON | CA | 928351041 |
1750452652 | EVENSEN | KAREN | ELIZABETH |   | 2141 N HARBOR BLVD STE 35000 | FULLERTON | CA | 928353831 |
1205889326 | HALL | WILLIAM | CHARLES ANDREW |   | 2141 N HARBOR BLVD STE 35000 | FULLERTON | CA | 928353831 |
1508866575 | KARICH | ANDREW |   |   | 2141 N HARBOR BLVD STE 35000 | FULLERTON | CA | 928353831 |
1265518443 | KHAJAVI | KIARASH |   |   | 2141 N HARBOR BLVD STE 35000 | FULLERTON | CA | 928353831 |
1346286580 | SHANFIELD | STEWART | LLOYD |   | 2141 N HARBOR BLVD STE 35000 | FULLERTON | CA | 928353831 |
1548268287 | SOLHPOUR | SHAHRAM |   |   | 2141 N HARBOR BLVD STE 35000 | FULLERTON | CA | 928353831 |
1578715801 | THAM | ALLEN | Y |   | 279 IMPERIAL HWY | FULLERTON | CA | 928351041 |
1326212994 | TSINBERG | MICHAEL |   |   | 279 IMPERIAL HWY | FULLERTON | CA | 928351041 |
1275576795 | WHITING | MIKEL |   |   | 2141 N HARBOR BLVD STE 35000 | FULLERTON | CA | 928353831 |