person
Mr. Alfred Fuentes JR., PA-C
Medical Physician Assistant in Gardena, California
NPI 1235409566

Alfred Fuentes JR. is a Medical Physician Assistant based in Gardena, CA and is specialized in Medical. Alfred Fuentes JR. practices in Gardena, CA and has the professional credentials of PA-C. The NPI Number for Alfred Fuentes JR. is 1235409566 and holds a License No. PA 11705 (California).

The current practice location address for Alfred Fuentes JR. is 14127 S Vermont Ave, Gardena, CA and can be reached out via phone at 310-532-1650 and via fax at 310-532-2036.

Location: 14127 S Vermont Ave, Gardena, CA, 90247-2205
person
Provider Profile Details
NPI Number
1235409566
Provider Name
Alfred Fuentes JR.
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
14127 S Vermont Ave, Gardena, CA, 90247-2205
Phone Number
310-532-1650
Fax Number
310-532-2036
Provider Enumeration Date
01/04/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
14127 S Vermont Ave
City
State
Zip
90247-2205
Phone Number
310-532-1650
Fax Number
310-532-2036
person
Provider Business Mailing Address Details
Address
14127 S Vermont Ave
City
State
Zip
90247-2205
Phone Number
310-532-1650
Fax Number
310-532-2036
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA 11705 (California)
Definition
Definition to come...
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