OrganizationActive
Fata Inc.
NPI 1104240340 · Medical Art Specialist/Technologist · Fontana, CA
Provider details
- NPI number
- 1104240340
- Entity type
- Organization
- Primary specialty
- Medical Art Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Parent organization
- Fata Inc.
- Authorized official
- Soon Park, Manager
- License
- AC12047 (CA)
Practice location
9773 Sierra Ave
9773 Sierra Ave. #h7
Fontana, CA 92335-6716
Phone: (909) 829-2349
Fax: (909) 829-2349
Mailing address
9773 Sierra Ave
Fontana, CA 92335-6716
Registry dates
- Enumerated
- 2014-02-07
- Last updated
- 2014-02-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.