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NPI Code Detail

MEDICARE: MRS. HORTENCIA HERNANDEZ

MEDICARE: MRS. HORTENCIA HERNANDEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorASW22409CA

General Provider Information

NPI Number : 1104940303
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. HORTENCIA HERNANDEZ
Provider Business Mailing Address
First Line : 1904 LANSDOWNE AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90032-4109
Country : US
Telephone Number : 323-222-5808
Fax Number :
Provider Business Practice Location Address
First Line : 838 E 6TH ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90021-1028
Country : US
Telephone Number : 213-623-8446
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2007
Last Update Date : 08/29/2007

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Directions to “ MRS. HORTENCIA HERNANDEZ ” Practice Location

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