Individual
ANDRES FONSECA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
4305 TORRANCE BLVD STE 106, TORRANCE, CA 90503-4400
(310) 542-9758
Mailing address
13069 MONTFORD ST, PACOIMA, CA 91331-1818
(949) 517-8566
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95028098
CA
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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