Doctor Name: | DR. JESUS FRANCISCO FERNANDEZ |
NPI Number: | 1871513457 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D., A.B.U.C.M. |
License Number: | 10651 |
Business Practice Address: | 13777 Air Expressway Blvd Victorville, CA - 923940510 |
Business Phone Number: | 7602462552 |
Business Fax Number: | 7602462542 |
Mailing Address: | 30056 Milano Rd, TEMECULA |
State: | CA |
Postal Code: | 925911636 |
Phone Number: | 9513163416 |
Fax Number: | 9516992148 |
NPI Enumeration Date: | 07/19/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 10651 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |