Individual provider · Type 1 NPI
Alfred Fuentes Jr., PA-C
Medical Physician Assistant · Gardena, CA
NPI number
1235409566
Active
Practice location
14127 S Vermont Ave
Gardena, CA 90247-2205
Fax (310) 532-2036
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA 11705 (CA) |
Medical Physician Assistant: Definition to come...
Another provider at this address
Other medical physician assistant providers in Gardena
About NPI 1235409566
Alfred Fuentes Jr., PA-C's National Provider Identifier is 1235409566, issued on Jan 4, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Gardena, CA. The record was last updated on Jan 4, 2012.