Individual provider · Type 1 NPI

Earvin Jay Fernandez Tanedo

Specialist · Berkeley, CA

NPI number 1093545089 Active

Practice location

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

Call (510) 714-0996 Map

Mailing address

6522 Telegraph Ave
Oakland, CA 94609-1114

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1093545089

Earvin Jay Fernandez Tanedo's National Provider Identifier is 1093545089, issued on Aug 5, 2024. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Berkeley, CA. The record was last updated on Aug 5, 2024.