Individual
VIRGIL THEODORE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
801 N TUSTIN AVE, SUITE #202, SANTA ANA, CA 92705-3612
(714) 265-5824
(714) 384-3897
Mailing address
22851 MAIDEN LN, MISSION VIEJO, CA 92692-4747
(714) 265-5824
(714) 384-3897
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E3884
CA
Other
Enumeration date
07/26/2006
Last updated
10/27/2010
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