Individual
ARNULFO FERNANDEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1018 8TH ST, HERMOSA BEACH, CA 90254-4311
(310) 936-6161
Mailing address
1018 8TH ST, HERMOSA BEACH, CA 90254-4311
(310) 936-6161
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
497628
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
369004
—
CA
Enumeration date
04/27/2022
Last updated
04/27/2022
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