Individual provider · Type 1 NPI
Ruth Suzanne Fontaine, MD, M.A.
General Practice Physician · Sun Valley, CA
NPI number
1144384066
Active
Practice location
8879 Laurel Canyon Blvd, Suite C
Sun Valley, CA 91352-2959
Fax (818) 252-6896
Mailing address
3600 Harbor Blvd, 80
Oxnard, CA 93035-4136
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | A 41199 (CA) |
| Pain Medicine Physician | 208VP0000X | A 41199 (CA) |
| General Practice Physician Primary | 208D00000X | A41199 (CA) |
| Public Health & General Preventive Medicine Physician | 2083P0901X | A41199 (CA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Another provider at this address
Other general practice physician providers in Sun Valley
About NPI 1144384066
Ruth Suzanne Fontaine, MD, M.A.'s National Provider Identifier is 1144384066, issued on Dec 22, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Sun Valley, CA. The record was last updated on Jan 24, 2011.