| Thelma T Fernandez M D A Professional Corporation | |
|
1601 W Avenue J Suite 101 Lancaster CA 93534-2824 | |
| (661) 945-2716 | |
| (661) 948-0552 |
| Full Name | Thelma T Fernandez M D A Professional Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 1601 W Avenue J, Lancaster, California |
| Authorized Official Name and Position | Thelma T Fernandez (MEDICAL DOCTOR) |
| Authorized Official Contact | 6619452716 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thelma T Fernandez M D A Professional Corporation 1601 W Avenue J Suite 101 Lancaster CA 93534-2824 Ph: (661) 945-2716 | Thelma T Fernandez M D A Professional Corporation 1601 W Avenue J Suite 101 Lancaster CA 93534-2824 Ph: (661) 945-2716 |
| NPI Number | 1851614986 |
|---|---|
| Provider Enumeration Date | 03/03/2010 |
| Last Update Date | 09/07/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851614986 | NPI | - | NPPES |
| A36169 | Other | CA | MEDICARE |
| 00A361690 | Medicaid | CA | |
| 1861505158 | Other | CA | MEDICARE NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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