Earvin Jay Fernandez Tanedo

Specialist · Berkeley, CA

Individual Active NPI

NPI number 1093545089

Practice location

2640 Martin Luther King Jr Way
Berkeley, CA 94704-3238
Phone
(510) 714-0996

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NPI record

NPI
1093545089
Entity type
Individual (Type 1)
Enumeration date
August 5, 2024
Last updated
August 5, 2024
Certified
August 5, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Specialist Primary 174400000X — —

Mailing address

6522 Telegraph Ave
Oakland, CA 94609-1114
Phone
(510) 714-0996

About Earvin Jay Tanedo

Earvin Jay Fernandez Tanedo is a healthcare provider registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 2640 Martin Luther King Jr Way, Berkeley, CA 94704-3238. The NPI number 1093545089 was assigned on August 5, 2024 and the record was last updated on August 5, 2024.

Frequently asked questions

What is the NPI number of Earvin Jay Fernandez Tanedo?

The NPI number is 1093545089.

What is the phone number of Earvin Jay Tanedo?

The phone number listed for the practice location is (510) 714-0996.

Where is Earvin Jay Tanedo located?

2640 Martin Luther King Jr Way, Berkeley, CA 94704-3238.

What is the taxonomy code for Earvin Jay Tanedo?

The primary taxonomy code is 174400000X – Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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