Jorge L Heredia
Medical Specialty
Professional ID
- NPI: 1619233426
- PECOS ID: 9133438013
- Enrollment ID: I20151015000404
- Credential(MD, DO, DPM):
- Medical School: University Of California Ucla School Of Medicine
- Medical School Graduation Year: 2012
Hospital Service
- Hospital CCN1: 050140
- Business Name (LBN)1: Kaiser Foundation Hospital Fontana
Medical Practices
- Organization Name: Southern California Permanente Medical Group
- Group Practice ID assigned by PECOS: 6002729175
- Number of Group Practice member: 8102
Location
- Address1: 2295 S Vineyard Ave
- Address2:
- City: Ontario
- State: California
- Zip Code: 91761
- Phone Number: (909)724-5000
Location
- Address1: 9961 Sierra Ave
- Address2:
- City: Fontana
- State: California
- Zip Code: 92335
- Phone Number: (909)427-5000
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):