Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dagoberto Fuentes

Individual provider Clinical Social Worker · NPI 1902316755

Dagoberto Fuentes is a Clinical Social Worker in Los Angeles, California. Qualified in 2011, 15 years ago. Practices with Avalon Medical Development Corporation, a 27-clinician group. Licensed in California.

Years since qualifying
15
Licensed in
CA
In the registry since
2017
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3800 S Figueroa St
Los Angeles, CA 90037-1206
Phone: (323) 233-0425
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 88009 (CA)

Record details

NPI number1902316755
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 6, 2017
Last updated in NPPESAugust 28, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Avalon Medical Development Corporation — 27 clinicians
Accepts Medicare assignment Not indicated

Other providers in Los Angeles