Healthcare Provider Details

I. General information

NPI: 1588960348
Provider Name (Legal Business Name): HIJINIO NUNEZ
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/26/2011
Last Update Date: 01/26/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9102 FIRESTONE BLVD SUITE E
DOWNEY CA
90241-5348
US

IV. Provider business mailing address

9102 FIRESTONE BLVD SUITE E
DOWNEY CA
90241-5348
US

V. Phone/Fax

Practice location:
  • Phone: 562-862-4711
  • Fax: 562-622-4784
Mailing address:
  • Phone: 562-862-4711
  • Fax: 562-622-4784

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1744P3200X
TaxonomyProsthetics Case Management
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: