Provider Demographics
NPI:1083777072
Name:NUNEZ, FELIX LEONARDO (MD)
Entity Type:Individual
Prefix:DR
First Name:FELIX
Middle Name:LEONARDO
Last Name:NUNEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:608 PASQUAL AVE
Mailing Address - Street 2:
Mailing Address - City:SAN GABRIEL
Mailing Address - State:CA
Mailing Address - Zip Code:91775-2122
Mailing Address - Country:US
Mailing Address - Phone:626-943-7965
Mailing Address - Fax:
Practice Address - Street 1:6501 GARFIELD AVE
Practice Address - Street 2:
Practice Address - City:BELL GARDENS
Practice Address - State:CA
Practice Address - Zip Code:90201-1805
Practice Address - Country:US
Practice Address - Phone:562-776-5008
Practice Address - Fax:562-927-8609
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA61245207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA61245OtherSTATE MEDICAL LICENSE
CAA61245OtherSTATE MEDICAL LICENSE
G59113Medicare UPIN