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NPI Code Detail

MEDICARE: PATRICIA BEATRICE FUENTES

MEDICARE:   PATRICIA BEATRICE FUENTES
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
11041C0700XClinical Social Worker135911CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
17667OTHERCAMEDI-CAL
27184OTHERCAMEDI-CAL
37708OTHERCAMEDI-CAL
47368OTHERCAMEDI-CAL

General Provider Information

NPI Number : 1548128333
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA BEATRICE FUENTES
Provider Business Mailing Address
First Line : 205 PASADENA AVE
Second Line :
City : SOUTH PASADENA
State : CA
Zip : 91030-2919
Country : US
Telephone Number : 323-204-1697
Fax Number :
Provider Business Practice Location Address
First Line : 205 PASADENA AVE
Second Line :
City : SOUTH PASADENA
State : CA
Zip : 91030-2919
Country : US
Telephone Number : 323-204-1697
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2026
Last Update Date : 01/12/2026

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Directions to “ PATRICIA BEATRICE FUENTES ” Practice Location

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