MEDICARE: BRANDON MICHAEL FONSECA LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	130684	CA

General Provider Information

NPI Number	:	1104475524
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRANDON MICHAEL FONSECA LCSW

Provider Business Mailing Address
First Line	:	3191 W TEMPLE AVE STE 150
Second Line	:
City	:	POMONA
State	:	CA
Zip	:	91768-3243
Country	:	US
Telephone Number	:	714-409-5057
Fax Number	:

Provider Business Practice Location Address
First Line	:	3191 W TEMPLE AVE STE 150
Second Line	:
City	:	POMONA
State	:	CA
Zip	:	91768-3243
Country	:	US
Telephone Number	:	626-206-3139
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/09/2019
Last Update Date	:	04/21/2026

Similar Medicare Providers

1417892274 — ARIEZ RENTERIA
Practice Location Address:

2180 VALLEY BLVD
POMONA, CA
91768-3325

Practice Phone: 909-865-2336
Practice Fax:

1285578583 — NEFTALI ARELLANO
Practice Location Address:

2180 VALLEY BLVD
POMONA, CA
91768-3325

Practice Phone: 909-440-4948
Practice Fax:

1679571095 — JOSE GUADALUPE PEREZ-LUNA D.D.S.
Practice Location Address:

1690 W HOLT AVE , STE A
POMONA, CA
91768-3319

Practice Phone: 909-469-6262
Practice Fax: 909-469-6263

1669472163 — DR. SHAHIDA DADABHOY M.D
Practice Location Address:

145 W WILLOW ST
POMONA, CA
91768-1829

Practice Phone: 909-865-5555
Practice Fax: 909-865-5565

1932180783 — EMBER CARE HEALTH CARE CENTER
Practice Location Address:

1550 N PARK AVE
POMONA, CA
91768

Practice Phone: 909-623-0791
Practice Fax: 909-620-4891

1932181138 — DR. TYSON SHIH MD
Practice Location Address:

151 W WILLOW ST
POMONA, CA
91768-1829

Practice Phone: 909-469-1888
Practice Fax: 909-469-1888

Directions to “ BRANDON MICHAEL FONSECA LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.