Fernando, Nancy

Fernando, Nancy is an individual health care provider with primary practice located at 11370 Anderson St Ste B-100, Loma Linda CA 92354-3450. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Fernando, Nancy can be contacted via phone (909) 558-2848.

Contact Information

Primary practice address
11370 Anderson St Ste B-100 Loma Linda CA 92354-3450
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 20A6343 California

Profile Details

NPI number 1215029251
LBN Legal business name Fernando, Nancy
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 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 1215029251 NPPES
California MEDICAID 00AX63430

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