| Julian R Fuentes Md Inc | |
|
3330 Churn Creek Rd Ste D4 Redding CA 96002-2532 | |
| (530) 222-3287 | |
| (530) 222-8547 |
| Full Name | Julian R Fuentes Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 3330 Churn Creek Rd, Redding, California |
| Authorized Official Name and Position | Julian Fuentes (PRESIDENT) |
| Authorized Official Contact | 5302223287 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Julian R Fuentes Md Inc Po Box 991868 Redding CA 96099-1868 Ph: (530) 339-0025 | Julian R Fuentes Md Inc 3330 Churn Creek Rd Ste D4 Redding CA 96002-2532 Ph: (530) 222-3287 |
| NPI Number | 1720370380 |
|---|---|
| Provider Enumeration Date | 05/13/2011 |
| Last Update Date | 03/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720370380 | NPI | - | NPPES |
| C3373967 | Other | CA | COPORATE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A50122 (California) | Primary |
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