| Doctor Name: | MR. GERARDO M DE JESUS |
| NPI Number: | 1003180498 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | NP |
| License Number: | NP8908 |
| Business Practice Address: | 550 N Flower St Santa Ana, CA - 927032361 |
| Business Phone Number: | 7146474170 |
| Business Fax Number: | |
| Mailing Address: | 17989 Via Frontera, CHINO HILLS |
| State: | CA |
| Postal Code: | 917093927 |
| Phone Number: | 7606688458 |
| Fax Number: | |
| NPI Enumeration Date: | 03/02/2012 |
| NPI Last Update Date: | 03/02/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | NP8908 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |