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Organization
STEPHEN M FERNANDEZ M D INC A PROFESSIONAL CORPORATION
Active
Organization
STEPHEN M FERNANDEZ M D INC A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN MICHAEL FERNANDEZ M.D. (PRESIDENT)
(323) 308-5548
Entity
Organization
Contact information
Practice address
614 W DUARTE RD, ARCADIA, CA 91007-7601
(626) 445-4714
(626) 445-1701
Mailing address
909 MICHELTORENA ST, LOS ANGELES, CA 90026-2721
(323) 899-3643
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G480051
BLUE SHIELD
CA
05
—
00G480051
—
CA
Enumeration date
08/05/2006
Last updated
08/12/2025
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