Individual
JOSE GAUDENCIO HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
750 MEDICAL CENTER CT STE 2, CHULA VISTA, CA 91911-6634
(619) 421-3144
(619) 421-6805
Mailing address
750 MEDICAL CENTER CT STE 2, CHULA VISTA, CA 91911-6634
(619) 421-3144
(619) 421-6805
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
A37666
CA
Other
Enumeration date
10/18/2011
Last updated
10/18/2011
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