NPI 1003947789
Jose D, Fernandez
Practice location
- Address
- 108 W Victoria St, Gardena, CA 90248-3523
- Phone
- (310) 715-2020
- Fax
- (310) 660-0492
Registered specialties
Rehabilitation Practitioner
Primary
Registry record
- NPI
- 1003947789
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 7 Mar 2007
- Record last updated
- 27 Apr 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.