Most Relevant Information
Provider Data
| NPI Number: | 1003567264 |
| Provider Name: | JORGE NUNEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/10/2022 |
| Last Updated: | 01/03/2024 |
Provider Practice Location
566 S BRAND BLVD
SAN FERNANDO
CA
913404002
Practice Location Phone/Fax
| Phone: | 8188980223 |
| Fax: |
Provider Mailing Location
308 S MACLAY AVE # 129
SAN FERNANDO
CA
913403606
Provider Mailing Phone/Fax
| Phone: | 7477322613 |
| Fax: |