Search › California › 171100000X
Mike Fernandez, DACM, LAC
NPI 1801435532 · on the registry since 2019 · sole proprietor
Practice
- Address
- 314 Pearl St
Redondo Beach, CA 90277 - Phone
- (915) 329-8976
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-12-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California