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NPI Code Detail

MEDICARE: GABRIELA HERNANDEZ

MEDICARE:   GABRIELA  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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1134058472
Entity Type Code : Individual
Provider Name (Legal Business Name) : GABRIELA HERNANDEZ
Provider Business Mailing Address
First Line : 11081 COUNTRYVIEW DR
Second Line :
City : RANCHO CUCAMONGA
State : CA
Zip : 91730-6689
Country : US
Telephone Number : 909-938-0841
Fax Number :
Provider Business Practice Location Address
First Line : 3745 S GRAND AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90007-4332
Country : US
Telephone Number : 213-743-9075
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2026
Last Update Date : 05/14/2026

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Directions to “ GABRIELA HERNANDEZ ” Practice Location

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