Individual
DR. ELENA FUENTES-AFFLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD MPH
Contact information
Practice address
1001 POTRERO AVENUE, MAIL STOP 6E, SAN FRANCISCO, CA 94110
(415) 206-4196
(415) 206-3686
Mailing address
1001 POTRERO AVENUE, MAIL STOP 6E, SAN FRANCISCO, CA 94110
(415) 206-4196
(415) 206-3686
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G62650
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G626500
—
CA
Enumeration date
08/31/2006
Last updated
12/22/2011
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