Individual
DR. MARK D HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
BLDG, H100, SANTA MARGARITA ROAD, CAMP PENDLETON, CA 92055-9151
(760) 725-8882
(760) 725-1267
Mailing address
9504 PASEO DE LOS CASTILLOS, SANTEE, CA 92071-4185
(619) 334-6959
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
0101056186
VA
Other
Enumeration date
01/19/2007
Last updated
04/18/2008
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