Fernandez, Geover

Fernandez, Geover is an individual health care provider with primary practice located at 520 N Prospect Ave Suite 302, Redondo Beach CA 90277-3041. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Fernandez, Geover can be contacted via phone (310) 798-1515.

Contact Information

Primary practice address
520 N Prospect Ave Suite 302 Redondo Beach CA 90277-3041
Phone: (310) 798-1515
Fax: (310) 798-3131
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X A103070 California
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X A103070 California

Profile Details

NPI number 1639103138
LBN Legal business name Fernandez, Geover
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jan 2nd, 2013 - 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 1639103138 NPPES
California Other P00980455 MEDICARE RAILROAD PTAN

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