Organization
DR FUSCALDOS HEALTH AND WELLNESS CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCISCO B FUSCALDO MD (MEDICAL DIRECTOR)
(818) 858-0211
Entity
Organization
Contact information
Practice address
7537 LAUREL CANYON BLVD, NORTH HOLLYWOOD, CA 91605
(818) 858-0211
Mailing address
7537 LAUREL CANYON BLVD, NORTH HOLLYWOOD, CA 91605
(818) 962-5505
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A25805
MEDICAL BOARD OF CALIFORNIA
CA
Enumeration date
02/04/2020
Last updated
06/18/2020
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