Fuller, Corey Brandon

Fuller, Corey Brandon is an individual health care provider with primary practice located at 25455 Barton Rd Ste 102B , Loma Linda CA 92354-3139. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Fuller, Corey Brandon can be contacted via phone (909) 558-6444.

Contact Information

Primary practice address
25455 Barton Rd Ste 102B Loma Linda CA 92354-3139
Phone: (909) 558-6444
Fax: (909) 558-6118
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X A118405 California
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X A118405 California

Profile Details

NPI number 1053637694
LBN Legal business name Fuller, Corey Brandon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2010
Last updated May 30th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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