Healthcare Provider Details

I. General information

NPI: 1477460335
Provider Name (Legal Business Name): FERNANDO ALFONSO GALVEZ CORONEL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CHINO VALLEY MEDICAL CENTER, FAMILY MEDICINE 5451 WALNUT AVE
CHINO CA
91710
US

IV. Provider business mailing address

CHINO VALLEY MEDICAL CENTER, FAMILY MEDICINE 5451 WALNUT AVE
CHINO CA
91710
US

V. Phone/Fax

Practice location:
  • Phone: 909-464-8600
  • Fax:
Mailing address:
  • Phone: 909-464-8600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: