Fernandez, Hector Jimenez

Fernandez, Hector Jimenez is an sole proprietor health care provider with primary practice located at 1970 Old Tustin Ave Ste A , Santa Ana CA 92705-7865. He recently has only one registered license in Ambulatory Health Care Facilities / Infusion Therapy, which is considered as his primary health care specialty. Fernandez, Hector Jimenez can be contacted via phone (714) 542-0102.

Contact Information

Primary practice address
1970 Old Tustin Ave Ste A Santa Ana CA 92705-7865
Phone: (714) 542-0102
Fax: (714) 479-0709
Website:
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Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Infusion Therapy 261QI0500X G32020 California

Profile Details

NPI number 1831103548
LBN Legal business name Fernandez, Hector Jimenez
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2006
Last updated Jul 8th, 2007 - about 18 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 1831103548 NPPES
California Other 953526447 IRS TAX PAYER ID
California MEDICAID 0G320200 IRS TAX PAYER ID

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