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Organization
JULIAN R FUENTES MD INC
Active
Organization
JULIAN R FUENTES MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIAN FUENTES MD (PRESIDENT)
(530) 222-3287
Entity
Organization
Contact information
Practice address
3330 CHURN CREEK RD, STE D4, REDDING, CA 96002-2532
(530) 222-3287
(530) 222-8547
Mailing address
PO BOX 991868, REDDING, CA 96099-1868
(530) 339-0025
(530) 722-9095
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A50122
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C3373967
COPORATE NUMBER
CA
Enumeration date
05/13/2011
Last updated
03/28/2018
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