NELSON M FUENTEBELLA

BEVERLY HILLS, CA
NPI1295075760
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  pa21977)
Enumeration Date2013-02-21
Last Update Date2013-02-21
Business Address
Mr. NELSON M FUENTEBELLA PA-C
9033 WILSHIRE BLVD 401
BEVERLY HILLS, CA 90211-1837
Phone number: 310-247-0466
Mailing Address
Mr. NELSON M FUENTEBELLA PA-C
6635 ETIWANDA AVENUE 7
RESEDA, CA 91335
Phone number: