Individual
ALEXIS FONSECA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13130 BURBANK BLVD, SHERMAN OAKS, CA 91401-6000
(818) 781-0360
Mailing address
13130 BURBANK BLVD, SHERMAN OAKS, CA 91401-6000
(818) 781-0360
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
—
CA
373H00000X
Day Training/Habilitation Specialist
Primary
—
CA
Other
Enumeration date
07/15/2026
Last updated
07/21/2026
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