Individual provider · Type 1 NPI

Clark Beeman Fuller, MD

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Los Angeles, CA

NPI number 1790890341 Active

Practice location

8635 W 3rd St, Suite 975W
Los Angeles, CA 90048-6101

Call (310) 652-0530 Map

Fax (310) 652-9936

Specialties and licenses

TaxonomyCodeLicense
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary 208G00000XG76647 (CA)
Specialist 174400000XG76647 (CA)

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician: A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of th…

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About NPI 1790890341

Clark Beeman Fuller, MD's National Provider Identifier is 1790890341, issued on Aug 21, 2006. The primary taxonomy on file is Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (208G00000X), and the practice location is in Los Angeles, CA. The record was last updated on Apr 19, 2018.