MR. ALFRED FUENTES PA-C NPI 1235409566

NPI Information

NPI: 1235409566
Provider Name: MR. ALFRED FUENTES, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
14127 S VERMONT AVE
GARDENA, CA
ZIP 90247
Phone: (310) 532-1650
Get Directions

MR. Alfred Fuentes, PA-C is a medical physician assistant in Gardena, CA. MR. Alfred Fuentes, PA-C NPI is 1235409566. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

14127 S VERMONT AVE
GARDENA, CA
ZIP 90247-205
Phone: (310) 532-1650
Fax: (310) 532-2036

The enumeration date for this NPI number is 1/4/2012 and was last updated on 1/4/2012.

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	363AM0700X	Physician Assistant	Medical	PA 11705	CALIFORNIA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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