Individual
DR. FRANCISCO ANTONIO HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4562 PASEO DE LA VISTA, BONITA, CA 91902-1255
(619) 997-4410
(619) 472-0386
Mailing address
4562 PASEO DE LA VISTA, BONITA, CA 91902-1255
(619) 997-4410
(619) 472-0386
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A36108
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A36108
—
CA
01
—
GR0062500
MEDICAID GRP#
CA
Enumeration date
01/19/2006
Last updated
11/08/2016
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