Individual
ALLENE FONSECA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-8888
Mailing address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-8888
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
4351050138
MI
207N00000X
Dermatology Physician
Primary
A150457
CA
207R00000X
Internal Medicine Physician
A150457
CA
Other
Enumeration date
04/20/2016
Last updated
11/21/2025
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