Fernando B. Fernandez, Dds Apc | |
5740 E Olympic Blvd Commerce CA 90022-5120 | |
(323) 722-6360 | |
(323) 722-6355 |
Full Name | Fernando B. Fernandez, Dds Apc |
---|---|
Speciality | Dentist - General Practice |
Location | 5740 E Olympic Blvd, Commerce, California |
Authorized Official Name and Position | Fernando Barr Fernandez (DENTIST/OWNER) |
Authorized Official Contact | 3237226360 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Fernando B. Fernandez, Dds Apc 5740 E Olympic Blvd Commerce CA 90022-5120 Ph: (323) 722-6360 | Fernando B. Fernandez, Dds Apc 5740 E Olympic Blvd Commerce CA 90022-5120 Ph: (323) 722-6360 |
NPI Number | 1174849400 |
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Provider Enumeration Date | 04/12/2010 |
Last Update Date | 04/12/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174849400 | NPI | - | NPPES |
1621125 | Other | CA | UNITED CONCORDIA |
44021 | Other | CA | PACIFICARE |
11894501 | Other | CA | DENTAL BENEFITS PROVIDERS |
0007225604 | Other | CA | AETNA |
130881 | Other | CO | GUARDIAN |
7022774 | Other | CA | UNITED HEALTHCARE |
B4951701 | Other | CA | DELTA DENTAL HEALTHY FAMILIES PROGRAM |
G9314501 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 49517 (California) | Primary |
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