Organization
AMOR T FERNANDO MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMOR TABOCOL FERNANDO MD (PRESIDENT)
(559) 222-3237
Entity
Organization
Contact information
Practice address
3636 N 1ST ST, SUITE 165, FRESNO, CA 93726-6800
(559) 222-3237
Mailing address
3636 N 1ST ST, SUITE 165, FRESNO, CA 93726-6800
(559) 222-3237
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A39704
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A39704
MEDICAL LICENSE
CA
Enumeration date
01/14/2010
Last updated
01/14/2010
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