Individual
MR. SEBASTIAN FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
2200 W 3RD ST STE 300, LOS ANGELES, CA 90057-1936
(213) 639-2200
(213) 368-7739
Mailing address
2200 W 3RD ST STE 300, LOS ANGELES, CA 90057-1936
(213) 639-2200
(213) 368-7739
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA 18064
CA
Other
Enumeration date
04/09/2007
Last updated
12/02/2021
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