Organization
VIRGIL HERNANDEZ DPM AACFAS A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGIL T HERNANDEZ DPM (PRESIDENT/OWNER)
(714) 265-5824
Entity
Organization
Contact information
Practice address
801 N TUSTIN AVE, SUITE 202, SANTA ANA, CA 92705-3612
(714) 265-5824
(714) 384-3897
Mailing address
22851 MAIDEN LN, MISSION VIEJO, CA 92692-4747
(714) 265-5824
(714) 384-3897
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
01/07/2011
Last updated
01/07/2011
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