Catherine G. Fuller, M.D. Inc.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

A43782 Issued in CA

Legal business name

CATHERINE G. FULLER, M.D. INC.

Practice address

11645 Wilshire Blvd
Suite 1150
Los Angeles, CA 90025-1708

Phone

(310) 828-7978

Fax

(310) 829-2306

NPI assigned

Apr 25, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Catherine G. Fuller, M.D.

Title

Chief Executive Officer

Phone

(310) 828-7978

Specialties & licenses 1

Addresses

Other names 1

• COMPREHENSIVE ALLERGY AND ASTHMA ASSOCIATES Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stacy Eui-Jung Lee, M.D.

  • Allergy & Immunology Physician
  • Santa Monica, CA
  • NPI 1932158722
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1730145913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11645 WILSHIRE BLVD",
            "address_2": "SUITE 1150",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251708",
            "telephone_number": "310-828-7978",
            "fax_number": "310-829-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11645 WILSHIRE BLVD",
            "address_2": "SUITE 1150",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251708",
            "telephone_number": "310-828-7978",
            "fax_number": "310-829-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHERINE G. FULLER, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-25",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "310-828-7978",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "A43782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMPREHENSIVE ALLERGY AND ASTHMA ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Allergy & Immunology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Allergy & Immunology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.