Provider Demographics
NPI:1710448303
Name:FERNANDEZ ARCE, OSCAR FABIAN (MD)
Entity type:Individual
Prefix:DR
First Name:OSCAR
Middle Name:FABIAN
Last Name:FERNANDEZ ARCE
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 1:2603 OSTROM AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90815-1602
Mailing Address - Country:US
Mailing Address - Phone:619-504-1390
Mailing Address - Fax:
Practice Address - Street 1:2600 REDONDO AVE STE 202
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-2325
Practice Address - Country:US
Practice Address - Phone:562-988-7000
Practice Address - Fax:562-988-7135
Is Sole Proprietor?:No
Enumeration Date:2019-03-27
Last Update Date:2024-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA176798207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine