Individual
JEREMY P PINEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
11180 WARNER AVE STE 463, FOUNTAIN VALLEY, CA 92708-7505
(741) 241-9200
Mailing address
11180 WARNER AVE STE 463, FOUNTAIN VALLEY, CA 92708-7505
(741) 241-9200
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95023506
CA
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
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