Dr. Mike Fernandez, DACM, LaC
Acupuncturist in Redondo Beach, CA. Individual provider (NPI-1).
NPI number1801435532
StatusActive
Last updated in NPPESDec 28, 2019
Details
- NPI
- 1801435532
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mike Fernandez
- Credential
- DACM, LaC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 28, 2019
- Certification date
- Dec 28, 2019
- Last updated
- Dec 28, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171100000X | Acupuncturist | 18780 | CA | Yes |
Practice location
314 Pearl StRedondo Beach, CA 90277-3744
Phone 915-329-8976
Mailing address
314 Pearl StRedondo Beach, CA 90277-3744
Phone 915-329-8976
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