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Frederick L Stafford

  • Male

Medical Specialty

Professional ID

  • NPI: 1013975028
  • PECOS ID: 6800782467
  • Enrollment ID: I20040224000624
  • Credential(MD, DO, DPM): MD
  • Medical School: Meharry Medical College School Of Medicine
  • Medical School Graduation Year: 1984

Hospital Service

  • Hospital CCN1: 050485
  • Business Name (LBN)1: Long Beach Memorial Medical Center
  • Hospital CCN2: 050191
  • Business Name (LBN)2: St Mary Medical Center
  • Hospital CCN3: 050727
  • Business Name (LBN)3: Community Hospital Of Long Beach

Medical Practices

  • Organization Name: Frederick L. Stafford M.d. Inc
  • Group Practice ID assigned by PECOS: 0840186409
  • Number of Group Practice member: 0

Location

  • Address1: 701 E 28th St
  • Address2: Suite 416
  • City: Long Beach
  • State: California
  • Zip Code: 90806
  • Phone Number: (562)427-1322

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS):
  • Used Electronic health record (EHR):