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Juan Carlos Fernandez Leyva, FNP
Family Nurse Practitioner in San Diego, California
NPI 1194115568

Juan Carlos Fernandez Leyva is a Family Nurse Practitioner based in San Diego, CA and is specialized in Family. Juan Carlos Fernandez Leyva practices in San Diego, CA and has the professional credentials of FNP. The NPI Number for Juan Carlos Fernandez Leyva is 1194115568 and holds a License No. 95001964 (California).

The current practice location address for Juan Carlos Fernandez Leyva is 823 Gateway Center Way, San Diego, CA and can be reached out via phone at 619-515-2300 and via fax at 619-906-4564.

Location: 823 Gateway Center Way, San Diego, CA, 92102-4541
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Provider Profile Details
NPI Number
1194115568
Provider Name
Juan Carlos Fernandez Leyva
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
823 Gateway Center Way, San Diego, CA, 92102-4541
Phone Number
619-515-2300
Fax Number
619-906-4564
Provider Enumeration Date
01/23/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
831345 01 CA RN LICENSE
95001964 01 CA LIC
institution
Provider Business Practice Location Address Details
Address
823 Gateway Center Way
City
State
Zip
92102-4541
Phone Number
619-515-2300
Fax Number
619-906-4564
person
Provider Business Mailing Address Details
Address
823 Gateway Center Way
City
State
Zip
92102-4541
Phone Number
619-515-2300
Fax Number
619-906-4564
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
95001964 (California)
Definition
Definition to come...
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