Individual
DR. ANA LUCIA FUENTES BALDARRAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4520 EXECUTIVE DR, SAN DIEGO, CA 92121-3018
(800) 926-8273
Mailing address
FILE 57326, LOS ANGELES, CA 90074-7326
(800) 926-8273
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A177124
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A177124
CA
207RP1001X
Pulmonary Disease Physician
Primary
A177124
CA
Other
Enumeration date
03/25/2019
Last updated
05/16/2025
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