JACK FULLER, PA-C

PA-C

Physician Assistant

NPI: 1376596668Individual

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

PA12536(CA)

Contact & Hours

Address: 1225 WILSHIRE BOULEVARD
LOS ANGELES, CA 90017
Phone: (213) 977-2423

Quick Facts

NPI: 1376596668
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

Are you this provider?

Claim Your Profile