Organization
FERNANDO ENRILE MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FERNANDO T ENRILE MD (PRESIDENT)
(213) 385-2400
Entity
Organization
Contact information
Practice address
2120 W 8TH ST, #330, LOS ANGELES, CA 90057-4019
(213) 385-2400
(213) 385-2403
Mailing address
2120 W 8TH ST, #330, LOS ANGELES, CA 90057-4019
(213) 385-2400
(213) 385-2403
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073671814
—
CA
Enumeration date
05/13/2008
Last updated
01/20/2009
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