institution
Ernesto L. Fontecha, Md, Inc
Clinic/Center in Los Angeles, California
NPI 1306202833

Ernesto L. Fontecha, Md, Inc is a Clinic/Center based in Los Angeles, CA. Ernesto L. Fontecha, Md, Inc practices in Los Angeles, CA. The NPI Number for Ernesto L. Fontecha, Md, Inc is 1306202833 and holds a License No. A36618 (California).

The current practice location address for Ernesto L. Fontecha, Md, Inc is 159 S Vermont Ave, Los Angeles, CA and can be reached out via phone at 213-388-2044 and via fax at 213-632-0140.

Location: 159 S Vermont Ave, Los Angeles, CA, 90004-5904
institution
Provider Profile Details
NPI Number
1306202833
Provider Name
Ernesto L. Fontecha, Md, Inc
Credential
Provider Entity Type
Organization
Address
159 S Vermont Ave, Los Angeles, CA, 90004-5904
Phone Number
213-388-2044
Fax Number
213-632-0140
Provider Enumeration Date
01/13/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A36618 01 CA MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
159 S Vermont Ave
City
State
Zip
90004-5904
Phone Number
213-388-2044
Fax Number
213-632-0140
person
Provider Business Mailing Address Details
Address
159 S Vermont Ave
City
State
Zip
90004-5904
Phone Number
213-388-2044
Fax Number
213-632-0140
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
A36618 (California)
Definition
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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