Individual
NATHANIEL DANIEL HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9300 W SUNSET RD, LAS VEGAS, NV 89148-4844
(702) 880-2948
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
(858) 249-6749
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A141384
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A141384
MEDICAL LICENSE
CA
Enumeration date
05/22/2010
Last updated
10/17/2019
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