Individual
DR. DAMIAN OLIVIER FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1010 MURRAY AVE, SAN LUIS OBISPO, CA 93405-1806
(516) 572-5881
Mailing address
251 VISTA DEL MAR AVE, PISMO BEACH, CA 93449-1830
(858) 999-6368
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
CA-A141808-A
NE
207RG0100X
Gastroenterology Physician
Primary
A141808
CA
Other
Enumeration date
03/30/2012
Last updated
02/04/2025
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