| Doctor Name: | DR. RUTH SUZANNE FONTAINE |
| NPI Number: | 1144384066 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D., M.A. |
| License Number: | A 41199 |
| Business Practice Address: | 8879 Laurel Canyon Blvd Suite C Sun Valley, CA - 913522959 |
| Business Phone Number: | 8182522000 |
| Business Fax Number: | 8182526896 |
| Mailing Address: | 3600 Harbor Blvd, 80 OXNARD |
| State: | CA |
| Postal Code: | 930354136 |
| Phone Number: | 8059017644 |
| Fax Number: | 8059853711 |
| NPI Enumeration Date: | 12/22/2006 |
| NPI Last Update Date: | 01/24/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2083P0500X |
| License Number: | A 41199 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Preventive Medicine |
| Taxonomy Specialization: | Preventive Medicine/Occupational Environmental Medicine |
| Taxonomy Definition: | A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |