Individual
FERNANDO ANTONIO ZAMUDIO
Inactive
Individual
FERNANDO ANTONIO ZAMUDIO
Inactive
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
C26245
CA
207RI0011X
Interventional Cardiology Physician
C26245
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C262450
BLUE SHIELD
CA
05
—
00C262450
—
CA
01
—
756061700
RR MEDICARE
CA
Enumeration date
06/27/2005
Last updated
03/21/2011
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