# JULIAN R FUENTES MD INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720370380
- **Authorized official:** JULIAN FUENTES MD (PRESIDENT)
- **Authorized official phone:** (530) 222-3287

## Contact information

- **Practice address:** 3330 CHURN CREEK RD, STE D4, REDDING, CA 96002-2532
- **Practice address phone:** (530) 222-3287
- **Practice address fax:** (530) 222-8547
- **Mailing address:** PO BOX 991868, REDDING, CA 96099-1868
- **Mailing address phone:** (530) 339-0025
- **Mailing address fax:** (530) 722-9095

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | A50122 | CA | Yes |

## Other

- **Enumeration date:** 05/13/2011
- **Last updated:** 03/28/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | C3373967 | COPORATE NUMBER | CA |