James Donald Fontaine
Physical Medicine & Rehabilitation Doctor
4765 Carmel Mountain Rd 207b
San Diego
, California 92130-6657
James Donald Fontaine
Physical Medicine & Rehabilitation Doctor
4765 Carmel Mountain Rd 207b
San Diego
, California 92130-6657
(858) 876-1300
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About
Features
Specialties
- Physical Medicine & Rehabilitation Doctor
Languages spoken
- English
Location
First Address
- James Donald Fontaine
- 4765 Carmel Mountain Rd 207b
- San Diego, CA
- Zip : 92130-6657
- Phone : (858) 876-1300
Second Address
- James Donald Fontaine
- 4765 Carmel Mountain Rd 207b
- San Diego, CA
- Zip : 92130-6657
- Phone : (858) 876-1300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation Doctor | G72697 | CA |
National Provider Identifier
| NPI | 1013913755 |
|---|---|
| Provider Name | James Donald Fontaine |
| First Address | San Diego, CA 92130-6657 |
| Second Address | San Diego, CA 92130-6657 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/06/2005 |
| Last Update Date | 22/06/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| F84091 | (02) |
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.