Individual
DR. JESUS NICOLAS HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
799 N RODEO CIR, ORANGE, CA 92869-2301
(714) 538-6838
Mailing address
799 N RODEO CIR, ORANGE, CA 92869-2301
(714) 538-6838
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A30246
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A302460
—
CA
Enumeration date
10/20/2005
Last updated
04/24/2020
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