Provider Demographics
NPI:1871689299
Name:AMU SIERRA, JAVIER (MD)
Entity Type:Individual
Prefix:DR
First Name:JAVIER
Middle Name:
Last Name:AMU SIERRA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:JAVIER
Other - Middle Name:
Other - Last Name:AMU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:M D
Mailing Address - Street 1:136 W PEACE RIVER DR
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93711-6953
Mailing Address - Country:US
Mailing Address - Phone:559-432-5668
Mailing Address - Fax:
Practice Address - Street 1:1121 F ST
Practice Address - Street 2:
Practice Address - City:REEDLEY
Practice Address - State:CA
Practice Address - Zip Code:93654-3028
Practice Address - Country:US
Practice Address - Phone:559-743-7340
Practice Address - Fax:559-743-7395
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2009-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA81420208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics