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Organization
THELMA T FERNANDEZ M D A PROFESSIONAL CORPORATION
Active
Organization
THELMA T FERNANDEZ M D A PROFESSIONAL CORPORATION
Active
Parent organization
THELMA T FERNANDEZ M D
Organization subpart
Yes
Provider details
NPI number
Legal business name
THELMA T FERNANDEZ M D
Authorized official
DR. THELMA T FERNANDEZ M.D. (MEDICAL DOCTOR)
(661) 945-2716
Entity
Organization
Contact information
Practice address
1601 W AVENUE J, SUITE 101, LANCASTER, CA 93534-2824
(661) 945-2716
(661) 948-0552
Mailing address
1601 W AVENUE J, SUITE 101, LANCASTER, CA 93534-2824
(661) 945-2716
(661) 948-0552
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A361690
—
CA
01
—
1861505158
MEDICARE NPI
CA
01
—
A36169
MEDICARE
CA
Enumeration date
03/03/2010
Last updated
09/07/2010
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