Dudley Fukunaga

NPI 1629219282 - Physician Assistant - 363A00000X

NPI Details
NPI 1629219282
Gender Male
Enumeration Date 03/11/2009
Last Updated 03/11/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
7601 IMPERIAL HWY
DOWNEY CA, 90242-3456, US
Phone (562) 401-7448
Fax
Business Location
7601 IMPERIAL HWY
DOWNEY CA, 90242-3456, US
Phone (562) 401-7448
Fax
Toxanomy
Taxonomy Code 363A00000X
License State California
License Number PA16027
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According to our database, Dudley Fukunaga NPI is 1629219282, taxonomy code is 363A00000X and license number is PA16027, license state is located at California. Dudley Fukunaga physically located at 7601 Imperial Hwy, Downey CA, 90242-3456. NPI Number Dudley Fukunaga has the Individual type.

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1629219282 NPI number is provided on an as is basis without warranty of any kind. 1629219282 is maintained by the National Plan & Provider Enumeration System. The contents of Dudley Fukunaga are for informational purposes only.