Manuel Enrique Fernandez in Concord - Community/behavioral Health
Manuel Enrique Fernandez - NPI 1558558676
Manuel Enrique Fernandez is a Community/behavioral Health in Concord, California. Manuel Enrique Fernandez practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Manuel Enrique Fernandez is 1558558676. The last update date is 2020-08-21.
Manuel Enrique Fernandez's current location address is 1070 Concord Ave Ste 109, Concord, California. You can contact this provider via phone number 9258495349 and fax number 9252703382. The mailing address for Manuel Enrique Fernandez is 1070 Concord Ave Ste 109, Concord, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Manuel Enrique Fernandez |
|---|---|
| Address | 1070 Concord Ave Ste 109, Concord, California |
| Phone Number | 9258495349 |
| Fax Number | 9252703382 |
| Sole Proprietor | Y |
| Credentials | PSYD, MSCP |
NPI Number Detail
| NPI Number | 1558558676 |
|---|---|
| Provider Enumeration Date | 2007-10-02 |
| Last Updated Date | 2020-08-21 |
Provider Mailing Address Detail
| Address | 1070 Concord Ave Ste 109 |
|---|---|
| City | Concord |
| State | California (CA) |
| Post Code | 945205608 |
| Phone Number | 9258495349 |
| Fax Number | 9252703382 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
| Licence No | PSY 26787 |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1750641189 | CA | NPI |
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What is the Manuel Enrique Fernandez's 1558558676?
The Manuel Enrique Fernandez's NPI (National Provider Identifier) Number is 1558558676. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Manuel Enrique Fernandez's physical address?
The Manuel Enrique Fernandez is physically located at 1070 Concord Ave Ste 109, in the city of Concord, CA, with the postal code 945205608.
What is the Manuel Enrique Fernandez's area of specialization and corresponding taxonomy classification?
The Manuel Enrique Fernandez's specialty field is Community/behavioral Health, and it falls under the taxonomy code 251S00000X, which categorizes healthcare providers based on their specialties.
On what date did Manuel Enrique Fernandez receive its 1558558676 assignment from the Centers for Medicare & Medicaid Services?
The Manuel Enrique Fernandez was assigned its 1558558676 on 2007-10-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Manuel Enrique Fernandez most recently updated or revised?
The details related to Manuel Enrique Fernandez, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-21.