Search › California › 207K00000X
Juline Caraballo Fonseca, M.D
NPI 1992146948 · on the registry since 2013
Practice
- Address
- 130 Stony Point Rd Ste E
Santa Rosa, CA 95401 - Phone
- (707) 525-0211
- Fax
- (707) 525-0491
- Organisation at this address
- Pura Vida Recovery Services, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Additional practice sites
- 191 Lynch Creek Way Ste 204, Petaluma, CA
Registry record
- Primary taxonomy
- 207K00000X
207K00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-08-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California