Most Relevant Information
Provider Data
| NPI Number: | 1003180498 |
| Provider Name: | GERARDO M DE JESUS NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2200X |
| Specialty: | Nurse Practitioner |
| License Number: | NP8908 |
Most Important Dates
| Enumeration Date: | 03/02/2012 |
| Last Updated: | 03/02/2012 |
Provider Practice Location
550 N FLOWER ST
SANTA ANA
CA
927032361
Practice Location Phone/Fax
| Phone: | 7146474170 |
| Fax: |
Provider Mailing Location
17989 VIA FRONTERA
CHINO HILLS
CA
917093927
Provider Mailing Phone/Fax
| Phone: | 7606688458 |
| Fax: |