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NPI Code Detail

MEDICARE: HELEN ZOLFAGHARI FAGUNDES FNP

MEDICARE: HELEN ZOLFAGHARI FAGUNDES FNP
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
1363LF0000XFamily Nurse Practitioner95005331CA

General Provider Information

NPI Number : 1831628403
Entity Type Code : Individual
Provider Name (Legal Business Name) : HELEN ZOLFAGHARI FAGUNDES FNP
Provider Business Mailing Address
First Line : 1050 PACIFIC COAST HWY
Second Line :
City : HARBOR CITY
State : CA
Zip : 90710-3500
Country : US
Telephone Number : 424-328-2540
Fax Number :
Provider Business Practice Location Address
First Line : 1050 PACIFIC COAST HWY
Second Line :
City : HARBOR CITY
State : CA
Zip : 90710-3500
Country : US
Telephone Number : 424-328-2540
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2017
Last Update Date : 10/10/2022

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