Provider Demographics
NPI:1801057542
Name:UYUNI, ADHEMAR FERNANDO (MD)
Entity type:Individual
Prefix:DR
First Name:ADHEMAR
Middle Name:FERNANDO
Last Name:UYUNI
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 1:4566 FLORENCE AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:BELL
Mailing Address - State:CA
Mailing Address - Zip Code:90201-4345
Mailing Address - Country:US
Mailing Address - Phone:323-771-1433
Mailing Address - Fax:
Practice Address - Street 1:4566 FLORENCE AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:BELL
Practice Address - State:CA
Practice Address - Zip Code:90201-4345
Practice Address - Country:US
Practice Address - Phone:323-771-1433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-24
Last Update Date:2015-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA97263207R00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice