Individual
DR. DIEGO RAFAEL FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 HAWTHORNE AVE STE 2308, OAKLAND, CA 94609-3108
(510) 869-6883
(510) 869-6888
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(510) 869-6883
(510) 569-6888
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A172321
CA
207R00000X
Internal Medicine Physician
MD.36555
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A172321
STATE MEDICAL LICENSE
CA
Enumeration date
04/06/2016
Last updated
04/15/2022
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