Doctor Name: | FREDERICK MARK PAOLI |
NPI Number: | 1134157712 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | A.T.,C. , P.T.A. |
License Number: | AT4149 |
Business Practice Address: | 27992 Via Del Agua Laguna Niguel, CA - 926777358 |
Business Phone Number: | 9497160332 |
Business Fax Number: | 9497169317 |
Mailing Address: | 27992 Via Del Agua, LAGUNA NIGUEL |
State: | CA |
Postal Code: | 926777358 |
Phone Number: | 9497160332 |
Fax Number: | 9497169317 |
NPI Enumeration Date: | 06/30/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 247200000X |
License Number: | AT4149 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Technician, Other |
Taxonomy Specialization: | |
Taxonomy Definition: | A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |