Individual
DR. DIONISIO A. FERNANDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13847 E 14TH ST., STE 112, SAN LEANDRO, CA 94578
(510) 352-8585
(510) 352-8644
Mailing address
3448 MOWRY AVE, FREMONT, CA 94538-1422
(510) 373-3000
(510) 744-9959
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
A29416
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0066330
—
CA
05
—
GR0066331
—
CA
Enumeration date
04/26/2006
Last updated
10/25/2018
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