Organization · Type 2 NPI
Ernesto L. Fontecha, Md, Inc
Clinic/Center · Los Angeles, CA
NPI number
1306202833
Active
Practice location
159 S Vermont Ave
Los Angeles, CA 90004-5904
Fax (213) 632-0140
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | A36618 (CA) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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About NPI 1306202833
Ernesto L. Fontecha, Md, Inc's National Provider Identifier is 1306202833, issued on Jan 13, 2016. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Los Angeles, CA. The record was last updated on Nov 27, 2017.