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General NPI Number Information
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NPI Number | 1699784959
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Entity Type | Organization
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Legal Business Name | STEPHEN M FERNANDEZ M D INC A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 614 W DUARTE RD
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City | ARCADIA
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State | CA
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Zip | 91007-7601
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Country | US
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Telephone | 626-445-4714
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Fax | 626-445-1701
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Provider Business Mailing Address
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Address Line | 909 MICHELTORENA ST
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City | LOS ANGELES
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State | CA
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Zip | 90026-2721
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Country | US
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Telephone | 323-899-3643
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | STEPHEN MICHAEL FERNANDEZ
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Credential | M.D.
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Telephone | 323-308-5548
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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