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Individual

HERIBERTO NUNEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
850 S ATLANTIC BLVD STE 203, MONTEREY PARK, CA 91754-6707
(626) 284-3111
(626) 872-2450
Mailing address
850 S ATLANTIC BLVD STE 203, MONTEREY PARK, CA 91754-6707
(626) 284-3111
(626) 872-2450

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A79979
CA
207QA0505X
Adult Medicine Physician
A79979
CA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
A79979
CA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
A79979
CA
208D00000X
General Practice Physician
Primary
A79979
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A79979
MEDICAL LICENSE
CA
Enumeration date
03/11/2008
Last updated
03/04/2020
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