FV Physical Medicine

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

G075155 Issued in CA

Legal business name

FV PHYSICAL MEDICINE

Practice address

10990 Warner Ave Ste E
Fountain Valley, CA 92708-3849

Phone

(714) 965-0306

Fax

(714) 965-5148

NPI assigned

Aug 30, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Dundas

Title

Shareholder

Phone

(714) 965-5146

Specialties & licenses 1

Addresses

Other names 1

• Daniel Shin MD, A Medical Profession Corporation Former legal business name

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

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314662400000",
    "number": "1811278260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10990 WARNER AVENUE SUITE E",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "92708",
            "telephone_number": "714-965-5146",
            "fax_number": "714-965-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10990 WARNER AVE STE E",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083849",
            "telephone_number": "714-965-0306",
            "fax_number": "714-965-5148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FV PHYSICAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-30",
        "last_updated": "2011-08-30",
        "status": "A",
        "authorized_official_last_name": "DUNDAS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "SHAREHOLDER",
        "authorized_official_telephone_number": "714-965-5146",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "G075155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Daniel Shin MD, A Medical Profession Corporation",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Donna Fritz, LM, CPM
• Ronald Max Frug, MD
• Consuelo Futris
• FV Family Chiropractic
• FV Medical Supplies, Inc.
• Douglas S Gahn, DC
• Jason Joseph Gajarsa, M.D.
• Angelica Galarza
• Jason Dean Galbraith, R1558470424
• Guadalupe Virginia Galindo Martinez, MSW, ASW

• Pain Medicine (Anesthesiology) Physician in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Pain Medicine (Anesthesiology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; 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.