Individual
LOUIS FANUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 THE CITY DR S UNIT 4368, ORANGE, CA 92868-3201
(602) 750-8683
Mailing address
200 S MANCHESTER AVE STE 300, ORANGE, CA 92868-3219
(714) 456-8888
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
20A16914
CA
Other
Enumeration date
03/20/2017
Last updated
07/22/2024
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