MR. Daniel Harry Fonseca

NPI #1811218795 in Pacoima, California

Provider Information

NPI Number: 1811218795
Entity Type: Individual
Name: MR. Daniel Harry Fonseca
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Jun 15, 2010
Last Updated: Jan 14, 2025

Practice Location

Address: 12510 VAN NUYS BLVD STE 201
City: Pacoima
State: California
ZIP Code: 91331-6732
Phone: (626) 395-7100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X
Peer Specialist	175T00000X	Primary

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