Sebastian Fuentes, PAC

NPI 1194848457 · on the registry since 2007

Practice

Address: 2200 W 3rd St Ste 300
Los Angeles, CA 90057
Phone: (213) 639-2200
Fax: (213) 368-7739
Organisation at this address: Louis & Mary Jo Wong
County Of Los Angeles
County Of Los Angeles
Pih Health Physicians
County Of Los Angeles
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: 363AS0400X
363AS0400X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2021-12-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California