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NPI Code Detail

MEDICARE: MR. MANUEL LIM FERNANDEZ CNA

MEDICARE: MR. MANUEL LIM FERNANDEZ CNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1376K00000XNurse's Aide

General Provider Information

NPI Number : 1235236936
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MANUEL LIM FERNANDEZ CNA
Provider Business Mailing Address
First Line : 2549 PEARSON AVE
Second Line :
City : FULLERTON
State : CA
Zip : 92831-4413
Country : US
Telephone Number : 714-733-9093
Fax Number :
Provider Business Practice Location Address
First Line : 1030 W WARNER AVE
Second Line :
City : SANTA ANA
State : CA
Zip : 92707-3147
Country : US
Telephone Number : 714-546-6450
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2006
Last Update Date : 08/02/2025

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