SERGIO A. FUENZALIDA MD INC.
Psychiatric at Atlantic Blvd, Monterey Park, CA

License number
California A25157
Category
Psychiatric
Type
Addiction Medicine
Owner
Name: SERGIO A FUENZALIDA M.D.
Title: OWNER
Phone: (626) 576-7481
Address
Address
850 S Atlantic Blvd SUITE 103, Monterey Park, CA 91754
National Provider ID: 1730493198
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SERGIO FUENZALIDA, M.D., INC

850 S Atlantic Blvd #103, Monterey Park, CA 91754

Status:
Inactive
Industry:
Neurologist Office, Neurologist
Doing business as:
Sergio A Fuenzalida MD Inc<br>Sergio Fuenzalida MD
Registration:
Aug 27, 1976
Phone:
(626) 576-7481 (Phone), (626) 516-7481 (Phone)
State ID:
C0785556
Business type:
Articles of Incorporation
Secretarys:
Sergio Fuenzalida (President, Neurology, Medical Doctor, Owner),Rose Fuenzalida Manager, Office Manager, inactive,Elizabeth Nuno Secretary, inactive

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