Doctor Name: | FERNANDO JOSE NUNEZ |
NPI Number: | 1023178803 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CP |
License Number: | |
Business Practice Address: | 9102 Firestone Blvd Suite E Downey, CA - 902415348 |
Business Phone Number: | 5628624711 |
Business Fax Number: | 5628624711 |
Mailing Address: | 9102 Firestone Blvd, Suite E DOWNEY |
State: | CA |
Postal Code: | 902415348 |
Phone Number: | 5628624711 |
Fax Number: | 5628624711 |
NPI Enumeration Date: | 12/11/2006 |
NPI Last Update Date: | 12/03/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1744P3200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | Prosthetics Case Management |
Taxonomy Definition: |