Organization
EUREKA PEDIATRICS MEDICAL PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELESHA L HERNANDEZ (ADMINISTRATOR)
(707) 445-8416
Entity
Organization
Contact information
Practice address
2800 HARRIS ST, EUREKA, CA 95503-4809
(707) 445-8416
(707) 445-4182
Mailing address
2800 HARRIS ST, EUREKA, CA 95503-4809
(707) 445-8416
(707) 445-4182
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
CA
Other
Enumeration date
08/31/2006
Last updated
03/01/2011
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