Individual
JESUS ADRIAN VERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 E VALENCIA MESA DR, SUITE 206, FULLERTON, CA 92835
(714) 446-5050
(714) 446-5150
Mailing address
100 E VALENCIA MESA DR STE 206, FULLERTON, CA 92835-3817
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A82192
CA
207RC0000X
Cardiovascular Disease Physician
Primary
A82192
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A821920
—
CA
Enumeration date
05/31/2006
Last updated
10/21/2020
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