Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Alfred Fuentes Jr., PA-C

Individual provider Medical Physician Assistant · NPI 1235409566

Mr. Alfred Fuentes Jr., PA-C is a Medical Physician Assistant in Gardena, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2012
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

14127 S Vermont Ave
Gardena, CA 90247-2205
Phone: (310) 532-1650
Fax: (310) 532-2036
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA 11705 (CA)

Record details

NPI number1235409566
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJanuary 4, 2012
Last updated in NPPESJanuary 4, 2012

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