MEDICARE: DULCE MAGALY 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
1	373H00000X	Day Training/Habilitation Specialist		CA

General Provider Information

NPI Number	:	1467294082
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DULCE MAGALY FUENTES

Provider Business Mailing Address
First Line	:	10322 BODGER ST
Second Line	:
City	:	EL MONTE
State	:	CA
Zip	:	91733-5209
Country	:	US
Telephone Number	:	626-539-6048
Fax Number	:

Provider Business Practice Location Address
First Line	:	2750 E WASHINGTON BLVD
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91107-1448
Country	:	US
Telephone Number	:	626-539-6048
Fax Number	:

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

Provider Enumeration Date	:	06/12/2024
Last Update Date	:	02/09/2026

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Directions to “ DULCE MAGALY FUENTES ” Practice Location

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