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NPI Code Detail

MEDICARE: ALICIA HERNANDEZ

MEDICARE: ALICIA 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
1106H00000XMarriage & Family TherapistMFC 40307CA

General Provider Information

NPI Number : 1255457867
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALICIA HERNANDEZ
Provider Business Mailing Address
First Line : 879 W 190TH ST STE 300
Second Line :
City : GARDENA
State : CA
Zip : 90248-4223
Country : US
Telephone Number : 310-323-6887
Fax Number :
Provider Business Practice Location Address
First Line : 13800 HEACOCK ST STE C220
Second Line :
City : MORENO VALLEY
State : CA
Zip : 92553-3363
Country : US
Telephone Number : 951-653-1800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2007
Last Update Date : 01/04/2024

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Directions to “ ALICIA HERNANDEZ ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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