| Sergio A. Fuenzalida Md Inc. | |
|
850 S Atlantic Blvd Suite 103 Monterey Park CA 91754-6703 | |
| (626) 576-7481 | |
| Not Available |
| Full Name | Sergio A. Fuenzalida Md Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Medicine |
| Location | 850 S Atlantic Blvd, Monterey Park, California |
| Authorized Official Name and Position | Sergio A Fuenzalida (OWNER) |
| Authorized Official Contact | 6265767481 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sergio A. Fuenzalida Md Inc. 850 S Atlantic Blvd Suite 103 Monterey Park CA 91754-4730 Ph: (626) 576-7481 | Sergio A. Fuenzalida Md Inc. 850 S Atlantic Blvd Suite 103 Monterey Park CA 91754-6703 Ph: (626) 576-7481 |
| NPI Number | 1730493198 |
|---|---|
| Provider Enumeration Date | 07/27/2010 |
| Last Update Date | 08/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730493198 | NPI | - | NPPES |
| 00A251570 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | A25157 (California) | Primary |
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