Individual
MR. FERNANDO H AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9940 TALBERT AVE, FOUNTAIN VALLEY, CA 92708-5153
(714) 964-6229
(714) 378-6233
Mailing address
19066 MAGNOLIA ST., HUNTINGTON BEACH, CA 92646
(714) 969-9307
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A30459
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A304590
MEDI-CAL #
CA
Enumeration date
06/10/2005
Last updated
11/05/2012
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