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Individual

DR. GERARDO HERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
500 W HOSPITAL RD, FRENCH CAMP, CA 95231-9693
(209) 468-6820
(209) 468-6132
Mailing address
PO BOX 577680, MODESTO, CA 95357-7680
(209) 735-3112
(209) 735-3333

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
A817330
CA
207VX0000X
Obstetrics Physician
A817330
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A8173300
CA
Enumeration date
12/14/2005
Last updated
10/26/2020
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