Fullerton Chest and Crtitical Care Inc

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

A69690 Issued in CA

Legal business name

FULLERTON CHEST AND CRTITICAL CARE INC

Practice address

1038 E Bastanchury Rd
Suite 206
Fullerton, CA 92835-2786

Phone

(714) 447-7303

Fax

(714) 996-9267

NPI assigned

May 7, 2008

Last updated

May 7, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Farhan Khabaz, M.D.

Title

President Owner

Phone

(714) 447-7303

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1730355801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1038 E BASTANCHURY RD",
            "address_2": "SUITE 206",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928352786",
            "telephone_number": "714-447-7303",
            "fax_number": "714-996-9267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1038 E BASTANCHURY RD",
            "address_2": "SUITE 206",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928352786",
            "telephone_number": "714-447-7303",
            "fax_number": "714-996-9267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULLERTON CHEST AND CRTITICAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "KHABAZ",
        "authorized_official_first_name": "FARHAN",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "714-447-7303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A69690",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A69690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1427159458",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan Fuller
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• Fullerton Care Pharmacy, Inc. (Fullerton Medical Pharmacy)
• Fullerton Community Counseling
• Fullerton Counseling and Medical Group, Inc
• Fullerton Dialysis Center LLC (Crossroads Dialysis)
• Fullerton Elementary School District
• Fullerton Eye Center Medical Group

• Pulmonary Disease Physician in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Pulmonary Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.