Individual
GERMAN ERNESTO FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
4214 BEVERLY BLVD STE 212, LOS ANGELES, CA 90004-4429
(213) 385-9912
(213) 385-9915
Mailing address
4214 BEVERLY BLVD STE 212, LOS ANGELES, CA 90004-4429
(213) 385-9912
(213) 385-9915
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA18790
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA18790
STATE OF CALIFORNIA
CA
Enumeration date
10/26/2007
Last updated
10/26/2007
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