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Individual

DR. GENARO CABAZOS FERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
610 EUCLID AVE, SUITE 201, NATIONAL CITY, CA 91950
(619) 267-8181
(619) 479-6750
Mailing address
610 EUCLID AVE, SUITE 201, NATIONAL CITY, CA 91950
(619) 267-8181
(619) 479-6750

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A45754
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A457540
CA
Enumeration date
08/10/2006
Last updated
07/08/2007
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