1659083400 NPI number — JOAO D FONTES INC

Table of content: (NPI 1659083400)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1659083400 NPI number — JOAO D FONTES INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JOAO D FONTES INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1659083400
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
234 VIEJO ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAGUNA BEACH
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92651-1353
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
857-413-9405
Provider Business Mailing Address Fax Number:
866-729-9762

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
234 VIEJO ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAGUNA BEACH
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92651-1353
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
857-413-9405
Provider Business Practice Location Address Fax Number:
866-729-9762
Provider Enumeration Date:
12/22/2022

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
FONTES
Authorized Official First Name:
JOAO
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
857-413-9405

Provider Taxonomy Codes

  • Taxonomy code: 207RC0000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: C169557 . This is a "MED LICENSE" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".