DR. RUTH SUZANNE FONTAINE M.D. M.A. NPI 1144384066

NPI Information

NPI: 1144384066
Provider Name: DR. RUTH SUZANNE FONTAINE, M.D., M.A.
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
8879 LAUREL CANYON BLVD
SUITE C
SUN VALLEY, CA
ZIP 91352
Phone: (818) 252-2000
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DR. Ruth Suzanne Fontaine, M.D., M.A. is a general practice in Sun Valley, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Ruth Suzanne Fontaine, M.D., M.A. NPI is 1144384066. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8879 LAUREL CANYON BLVD
SUITE C
SUN VALLEY, CA
ZIP 91352-959
Phone: (818) 252-2000
Fax: (818) 252-6896

The enumeration date for this NPI number is 12/22/2006 and was last updated on 1/24/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2083P0500X	Preventive Medicine	Preventive Medicine/Occupational Environmental Medicine	A 41199	CALIFORNIA	No
2	208VP0000X	Pain Medicine	Pain Medicine	A 41199	CALIFORNIA	No
3	2083P0901X	Preventive Medicine	Public Health & General Preventive Medicine	A41199	CALIFORNIA	No
4	208D00000X	General Practice		A41199	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A29331	MEDICARE UPIN	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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