Benjamin Fuller, ATC

Athletic Trainer · Azusa, CA

Individual Active NPI

NPI number 1407400799

Practice location

701 E Foothill Blvd
Azusa, CA 91702-2606
Phone
(626) 815-6000
Fax
(626) 815-5442

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NPI record

NPI
1407400799
Entity type
Individual (Type 1)
Enumeration date
July 25, 2019
Last updated
July 25, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X — —

Mailing address

PO Box 7000
Azusa, CA 91702-7000
Phone
(626) 815-6000
Fax
(626) 815-5442

About Benjamin Fuller

Benjamin Fuller, ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 701 E Foothill Blvd, Azusa, CA 91702-2606. The NPI number 1407400799 was assigned on July 25, 2019 and the record was last updated on July 25, 2019.

Frequently asked questions

What is the NPI number of Benjamin Fuller, ATC?

The NPI number is 1407400799.

What is the phone number of Benjamin Fuller?

The phone number listed for the practice location is (626) 815-6000.

Where is Benjamin Fuller located?

701 E Foothill Blvd, Azusa, CA 91702-2606.

What is the taxonomy code for Benjamin Fuller?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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