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NPI Code Detail

MEDICARE: ANA GUADALUPE HERNANDEZ MORENO

MEDICARE: ANA GUADALUPE HERNANDEZ MORENO
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 TherapistAMFT159211CA

General Provider Information

NPI Number : 1316793144
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANA GUADALUPE HERNANDEZ MORENO
Provider Business Mailing Address
First Line : 1040 FLYNN RD
Second Line :
City : CAMARILLO
State : CA
Zip : 93012-5092
Country : US
Telephone Number : 805-673-3930
Fax Number : 805-659-3217
Provider Business Practice Location Address
First Line : 4279 TIERRA REJADA RD
Second Line :
City : MOORPARK
State : CA
Zip : 93021-3775
Country : US
Telephone Number : 805-222-2323
Fax Number : 805-222-2333
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2024
Last Update Date : 12/11/2025

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Directions to “ ANA GUADALUPE HERNANDEZ MORENO ” Practice Location

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