Organization
JOAO D FONTES INC
Active
Organization
JOAO D FONTES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOAO FONTES MD (PRESIDENT)
(857) 413-9405
Entity
Organization
Contact information
Practice address
234 VIEJO ST, LAGUNA BEACH, CA 92651-1353
(857) 413-9405
(866) 729-9762
Mailing address
234 VIEJO ST, LAGUNA BEACH, CA 92651-1353
(857) 413-9405
(866) 729-9762
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C169557
MED LICENSE
CA
Enumeration date
12/22/2022
Last updated
07/07/2023
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