Provider Demographics
NPI:1710448303
Name:FERNANDEZ ARCE, OSCAR FABIAN (MD)
Entity Type:Individual
Prefix:MR
First Name:OSCAR
Middle Name:FABIAN
Last Name:FERNANDEZ ARCE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2603 OSTROM AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90815-1602
Mailing Address - Country:US
Mailing Address - Phone:619-504-1390
Mailing Address - Fax:
Practice Address - Street 1:725 W LA VETA AVE STE 260
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-4439
Practice Address - Country:US
Practice Address - Phone:714-771-8000
Practice Address - Fax:714-744-8630
Is Sole Proprietor?:No
Enumeration Date:2019-03-27
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CAA176798207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program