Individual
BRIAN FONSECA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2335 VISTA WAY, OCEANSIDE, CA 92054-5663
(760) 547-2666
Mailing address
9976 OSGOOD WAY, SAN DIEGO, CA 92126-5121
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
307603
CA
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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