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NPI Code Detail

MEDICARE: SCOTT S. FERER, M.D., A MEDICAL CORPORATION

MEDICARE: SCOTT S. FERER, M.D., A MEDICAL CORPORATION
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
12084N0400XNeurology PhysicianG75954CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1G75954OTHERCACALIFORNIA STATE MEDICAL LICENSE NUMBER

General Provider Information

NPI Number : 1720222631
Entity Type Code : Organization
Provider Name (Legal Business Name) : SCOTT S. FERER, M.D., A MEDICAL CORPORATION
Provider Business Mailing Address
First Line : 2216 NEWPORT BLVD
Second Line :
City : COSTA MESA
State : CA
Zip : 92627-1711
Country : US
Telephone Number : 714-258-0011
Fax Number : 714-258-0154
Provider Business Practice Location Address
First Line : 2216 NEWPORT BLVD
Second Line :
City : COSTA MESA
State : CA
Zip : 92627-1711
Country : US
Telephone Number : 714-258-0011
Fax Number : 714-258-0154
Authorized Official
Title or Position : PRACTICE CONSULTANT
Name : MRS. SANDRA S HUNNICUTT
Credential :
Telephone Number : 714-258-0011
Provider Enumeration Date : 04/22/2009
Last Update Date : 04/22/2009

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