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Individual

DR. DAVID JONATHAN FUERST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1135 S. SUNSET AVE, SUITE 312, WEST COVINA, CA 91790-3965
(626) 856-2020
(626) 962-0974
Mailing address
1135 S. SUNSET AVE, SUITE 312, WEST COVINA, CA 91790
(626) 856-2020
(626) 962-0974

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G47430
CA
207WX0120X
Cornea and External Diseases Specialist Physician
G47430
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ZZZ75843Z
CA
Enumeration date
12/14/2005
Last updated
08/28/2020
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