Andrea Fuentes
Neurologist
1635 Divisadero St Ste 520
San Francisco
, California 94115-3044
Andrea Fuentes
Neurologist
1635 Divisadero St Ste 520
San Francisco
, California 94115-3044
(415) 533-9060
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About
Features
Specialties
- Neurologist
Languages spoken
- English
Location
First Address
- Andrea Fuentes
- 1635 Divisadero St Ste 520
- San Francisco, CA
- Zip : 94115-3044
- Fax : (415) 533-9060
- Phone : (415) 353-2311
Second Address
- Andrea Fuentes
- 1635 Divisadero St Ste 520
- San Francisco, CA
- Zip : 94115-3044
- Fax : (415) 533-9060
- Phone : (415) 353-2311
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2084N0400X | Neurologist | A171442 | CA |
National Provider Identifier
| NPI | 1003342585 |
|---|---|
| Provider Name | Andrea Fuentes |
| First Address | San Francisco, CA 94115-3044 |
| Second Address | San Francisco, CA 94115-3044 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/05/2017 |
| Last Update Date | 03/09/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 95525321G06281 | (05) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.