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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. RUTH SUZANNE FONTAINE, M.D., M.A.

Active Sole Proprietor

DR. RUTH SUZANNE FONTAINE, M.D., M.A. is a General Practice healthcare provider located in SUN VALLEY, California. NPI 1144384066 is currently active in the NPPES registry. Verify at CMS.

General Practice · SUN VALLEY, CA

Registration Details

NPI Number
1144384066
Provider Type
Individual
Gender
Female
NPI Issued
Dec 22, 2006 (19.671109284628 yrs)
Last Updated
Jan 24, 2011
Licenses
A 41199 (CA)
A 41199 (CA)
A41199 (CA)
A41199 (CA)
Sole Proprietor
Yes

Practice Information

Address
8879 LAUREL CANYON BLVD
SUITE C
SUN VALLEY, CA, 913522959
Browse CA providers · Browse ZIP 91352
Phone
8182522000
Fax
8182526896
Primary Specialty
General Practice
208D00000X
Additional Specialty
Vascular Surgery
Additional Specialty
General Practice

Other General Practice Providers in SUN VALLEY, CA

Name Credential NPI
DR. RONG YANG M.D 1497783773
VICRUMDEEP TUNG M.D. 1891163499
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.