Terrelyn C Fernandez in Fairfield - Medical

Terrelyn C Fernandez - NPI 1215061775

Terrelyn C Fernandez is a Medical in Fairfield, California. Terrelyn C Fernandez practices all healthcare services and medical treatments related to Medical. The NPI Number for Terrelyn C Fernandez is 1215061775. The last update date is 2007-07-08.

Terrelyn C Fernandez's current location address is 1620 Pennsylvania Ave Ste C, Fairfield, California. You can contact this provider via phone number 7074284878. The mailing address for Terrelyn C Fernandez is 1620 Pennsylvania Ave Ste C, Fairfield, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Terrelyn C Fernandez
Address 1620 Pennsylvania Ave Ste C, Fairfield, California
Phone Number 7074284878
Fax Number
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1215061775
Provider Enumeration Date 2007-03-15
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1620 Pennsylvania Ave Ste C
City Fairfield
State California (CA)
Post Code 945333509
Phone Number 7074284878
Fax Number

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No PA13073
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
PA13073 CA STATE LICENSE NUMBER

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FAQs about Terrelyn C Fernandez

What is the unique 10-digit identification code assigned to Terrelyn C Fernandez by the Centers for Medicare & Medicaid Services?

The Terrelyn C Fernandez has been issued the NPI (National Provider Identifier) 1215061775, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Terrelyn C Fernandez is located?

The Terrelyn C Fernandez is situated at the following address: 1620 Pennsylvania Ave Ste C, Fairfield, CA, 945333509.

What is Terrelyn C Fernandez's specialized field of practice, and what is the corresponding taxonomy classification code?

The Terrelyn C Fernandez's area of specialization is Medical, and the corresponding taxonomy code that categorizes this field of practice is 363Am0700X.

On what date was the 1215061775 assigned to Terrelyn C Fernandez?

The Terrelyn C Fernandez was issued its 1215061775 on 2007-03-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Terrelyn C Fernandez's details last updated?

The information pertaining to the Terrelyn C Fernandez, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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