Provider Demographics
NPI:1780743559
Name:NUNEZ, JOHN ARVIZU (PA-C)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:ARVIZU
Last Name:NUNEZ
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2219 CLARET AVE
Mailing Address - Street 2:
Mailing Address - City:HANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:93230-8149
Mailing Address - Country:US
Mailing Address - Phone:559-816-7912
Mailing Address - Fax:
Practice Address - Street 1:1230 JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:DELANO
Practice Address - State:CA
Practice Address - Zip Code:93215-2204
Practice Address - Country:US
Practice Address - Phone:661-725-7793
Practice Address - Fax:661-725-0595
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2016-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18495363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant