Hernandez, Jesus Nicolas

Hernandez, Jesus Nicolas is an sole proprietor health care provider with primary practice located at 799 N Rodeo Cir , Orange CA 92869-2301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Hernandez, Jesus Nicolas can be contacted via phone (714) 538-6838.

Contact Information

Primary practice address
799 N Rodeo Cir Orange CA 92869-2301
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X A30246 California

Profile Details

NPI number 1609865716
LBN Legal business name Hernandez, Jesus Nicolas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2005
Last updated Apr 24th, 2020 - about 5 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 1609865716 NPPES
California MEDICAID 00A302460

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