Jorge Larez Heredia M.D.

NPI 1619233426 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1619233426
Gender Male
Enumeration Date 04/05/2012
Last Updated 09/02/2015
Entity Type Individual
Active Over 4 years ago
Practice Location
9961 SIERRA AVE
FONTANA CA, 92335-6720, US
Phone (951) 427-5000
Fax
Business Location
1937 S STARFIRE AVE
CORONA CA, 92879-2946, US
Phone (951) 371-2781
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Dr. Jorge Larez Heredia M.D. NPI is 1619233426, taxonomy code is 390200000X Jorge Larez Heredia M.D. physically located at 9961 Sierra Ave, Fontana CA, 92335-6720. NPI Number Jorge Larez Heredia M.D. has the Individual type.

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1619233426 NPI number is provided on an as is basis without warranty of any kind. 1619233426 is maintained by the National Plan & Provider Enumeration System. The contents of Jorge Larez Heredia M.D. are for informational purposes only.