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NPI Code Detail

MEDICARE: DR. ESTEBAN ERNESTO FUERTES M.D.

MEDICARE:  DR. ESTEBAN ERNESTO FUERTES  M.D.
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
12084P0800XPsychiatry PhysicianG82291CA

General Provider Information

NPI Number : 1336186865
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ESTEBAN ERNESTO FUERTES M.D.
Provider Business Mailing Address
First Line : 500 W FOSTER RD
Second Line :
City : SANTA MARIA
State : CA
Zip : 93455-3620
Country : US
Telephone Number : 805-928-6480
Fax Number :
Provider Business Practice Location Address
First Line : 500 W FOSTER RD
Second Line :
City : SANTA MARIA
State : CA
Zip : 93455-3620
Country : US
Telephone Number : 805-934-6380
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2006
Last Update Date : 02/02/2010

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Directions to “ DR. ESTEBAN ERNESTO FUERTES M.D.” Practice Location

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