Individual
MRS. CAROLINA TRIAS-FONSECA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1055 CORPORATE CENTER DR STE 430, MONTEREY PARK, CA 91754-7668
(323) 881-3799
Mailing address
557 S MCDONNELL AVE, LOS ANGELES, CA 90022-1845
(323) 715-7997
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
03/26/2007
Last updated
10/02/2017
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