Individual
FERNANDO EDWARDS VIORATO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
400 N PEPPER AVE, COLTON, CA 92324-1801
(661) 858-3265
Mailing address
1556 CREEKSIDE ST, BEAUMONT, CA 92223-7128
(661) 858-3265
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
814779
CA
207L00000X
Anesthesiology Physician
Primary
95001518
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
814779
CA RN
CA
Enumeration date
12/02/2020
Last updated
04/01/2021
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