Healthcare Provider Details

I. General information

NPI: 1740195312
Provider Name (Legal Business Name): ARMANDO JOSE FUENTES-LLERENAS DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26900 NEWPORT RD STE 110
MENIFEE CA
92584-9224
US

IV. Provider business mailing address

29632 JURA CT
MENIFEE CA
92584-8611
US

V. Phone/Fax

Practice location:
  • Phone: 951-672-8060
  • Fax:
Mailing address:
  • Phone: 951-259-7826
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC37074
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: