Organization
ASF ORTHOPAD
Active
Other names
ASF Orthopedic Medical Group Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLEN FONSECA MD (OWNER)
(562) 464-3033
Entity
Organization
Contact information
Practice address
13710 WHITTIER BLVD, STE 103, WHITTIER, CA 90605-4412
(562) 464-3033
(562) 464-3034
Mailing address
2980 N BEVERLY GLEN CIR STE 100, LOS ANGELES, CA 90077-1728
(310) 474-9809
(888) 652-3017
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G62809
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G62809
OWNER STATE LICENSE
CA
Enumeration date
09/08/2009
Last updated
02/03/2010
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