Fernandez, Marina H

Fernandez, Marina H is an individual health care provider with primary practice located at 941 S Atlantic Blvd Suite 101, Monterey Park CA 91754-4722. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Fernandez, Marina H can be contacted via phone (626) 458-8401.

Contact Information

Primary practice address
941 S Atlantic Blvd Suite 101 Monterey Park CA 91754-4722
Phone: (626) 458-8401
Fax: (626) 458-5606
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X A37204 California

Profile Details

NPI number 1255354171
LBN Legal business name Fernandez, Marina H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Dec 29th, 2011 - about 13 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 1255354171 NPPES
California MEDICAID 00A372040

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