Provider Demographics
NPI:1215991286
Name:VON POSERN, FABIAN A (MD)
Entity type:Individual
Prefix:DR
First Name:FABIAN
Middle Name:A
Last Name:VON POSERN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 25033
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92799-5033
Mailing Address - Country:US
Mailing Address - Phone:714-347-1000
Mailing Address - Fax:714-795-6829
Practice Address - Street 1:477 N EL CAMINO REAL STE C100
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-1332
Practice Address - Country:US
Practice Address - Phone:760-942-8800
Practice Address - Fax:866-987-5381
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2024-06-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG77675207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G776751Medicaid
CA00G776751Medicaid
CAG77675Medicare PIN