Individual
JOSE FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 GRANT RD FL 2, MOUNTAIN VIEW, CA 94040-4302
(650) 404-8315
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(650) 934-7808
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G78988
CA
208M00000X
Hospitalist Physician
Primary
G78988
CA
Other
Enumeration date
09/20/2006
Last updated
02/22/2021
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