| Rj Fernandez Md Inc Apc. | |
|
450 4th Ave Ste 201 Chula Vista CA 91910-4428 | |
| (619) 476-9054 | |
| (619) 476-9056 |
| Full Name | Rj Fernandez Md Inc Apc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 450 4th Ave Ste 201, Chula Vista, California |
| Authorized Official Name and Position | Rodrigo Jose Fernandez. M.d. (OWNER / MD) |
| Authorized Official Contact | 6194769054 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rj Fernandez Md Inc Apc. 450 4th Ave Ste 201 Chula Vista CA 91910-4428 Ph: (619) 476-9054 | Rj Fernandez Md Inc Apc. 450 4th Ave Ste 201 Chula Vista CA 91910-4428 Ph: (619) 476-9054 |
| NPI Number | 1609963156 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 08/03/2021 |
| Medicare PECOS PAC ID | 6800887795 |
|---|---|
| Medicare Enrollment ID | O20040519001585 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609963156 | NPI | - | NPPES |
| 00A444410 | Medicaid | CA | |
| 1366539793 | Other | CA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 207R00000X (California) | Primary |
| Provider Name | Rodrigo J Fernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366539793 PECOS PAC ID: 7113918012 Enrollment ID: I20040519001659 |
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