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NPI Code Detail

MEDICARE: GIORGIO JOSEPH HADDAD

MEDICARE: GIORGIO JOSEPH HADDAD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1154285922
Entity Type Code : Individual
Provider Name (Legal Business Name) : GIORGIO JOSEPH HADDAD
Provider Business Mailing Address
First Line : 2915 WELLESLEY CT
Second Line :
City : FULLERTON
State : CA
Zip : 92831-2222
Country : US
Telephone Number : 909-270-9220
Fax Number :
Provider Business Practice Location Address
First Line : 2915 WELLESLEY CT
Second Line :
City : FULLERTON
State : CA
Zip : 92831-2222
Country : US
Telephone Number : 909-270-9220
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2025
Last Update Date : 12/15/2025

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Directions to “ GIORGIO JOSEPH HADDAD ” Practice Location

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