| Doctor Name: | MRS. ROWENA REYES ALCANTARA-FERNANDEZ |
| NPI Number: | 1245232644 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P. |
| License Number: | 12418 |
| Business Practice Address: | 1600 San Fernando Road San Fernando, CA - 913401300 |
| Business Phone Number: | 8183658086 |
| Business Fax Number: | 8188984826 |
| Mailing Address: | 1172 N. Maclay Ave., SAN FERNANDO |
| State: | CA |
| Postal Code: | 913401300 |
| Phone Number: | 8188981388 |
| Fax Number: | 8183654031 |
| NPI Enumeration Date: | 08/15/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 12418 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |