Individual
DR. JORGE LAREZ HEREDIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9961 SIERRA AVE, FONTANA, CA 92335-6720
(951) 427-5000
Mailing address
1937 S STARFIRE AVE, CORONA, CA 92879-2946
(951) 371-2781
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A134003
CA
Other
Enumeration date
04/05/2012
Last updated
11/30/2021
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