Fernandez, Edgar A

Fernandez, Edgar A is an individual health care provider with primary practice located at 9930 Talbert Ave , Fountain Valley CA 92708-5153. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fernandez, Edgar A can be contacted via phone (714) 964-6229.

Contact Information

Primary practice address
9930 Talbert Ave Fountain Valley CA 92708-5153
Phone: (714) 964-6229
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20A6550 California

Profile Details

NPI number 1033157235
LBN Legal business name Fernandez, Edgar A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Sep 4th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033157235 NPPES
California MEDICAID 00XA65500

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