Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LUC OCTAVE FONTAINE, M.D
Active Sole ProprietorLUC OCTAVE FONTAINE, M.D is a Obstetrics & Gynecology healthcare provider located in CALEXICO, California. NPI 1629000724 is currently active in the NPPES registry. Verify at CMS.
Obstetrics & Gynecology · CALEXICO, CA
Registration Details
- NPI Number
- 1629000724
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 7, 2006 (20.125870364187 yrs)
- Last Updated
- Mar 14, 2016
- License
-
A36515 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
233 W COLE BLVDCALEXICO, CA, 922319722Browse CA providers · Browse ZIP 92231
- Phone
- 7603572020
- Fax
- 7603571056
- Primary Specialty
-
Obstetrics & Gynecology
207V00000X
Other Obstetrics & Gynecology Providers in CALEXICO, CA
| Name | Credential | NPI |
|---|---|---|
| ROBERT C THOMAS | MD | 1467566596 |
| ALLAN YANG WU | M.D., C.T.B.S. | 1265538912 |
| AUSTIN M. KOOBA | MD | 1982756102 |
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.