Individual
MR. FERDINAND A ALFONSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
931 BUENA VISTA ST, SUITE 503, DUARTE, CA 91010-1712
(626) 357-8003
(626) 357-8402
Mailing address
931 BUENA VISTA ST, SUITE 503, DUARTE, CA 91010-1712
(626) 357-8003
(626) 357-8402
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A40114
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A40114
—
CA
Enumeration date
10/11/2005
Last updated
10/27/2011
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