Individual
MR. DANIEL HARRY FONSECA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12510 VAN NUYS BLVD STE 201, PACOIMA, CA 91331-6732
(626) 395-7100
Mailing address
12510 VAN NUYS BLVD STE 201, PACOIMA, CA 91331-6732
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
MPSS-HAUFDO
CA
Other
Enumeration date
06/15/2010
Last updated
01/14/2025
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