MEDICARE: GLORIA MONICA 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
1	106S00000X	Behavior Technician	Y9344947	CA

General Provider Information

NPI Number	:	1346171949
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GLORIA MONICA HERNANDEZ

Provider Business Mailing Address
First Line	:	11017 STRATHMORE DR
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90024-2352
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	15300 VENTURA BLVD STE 503A
Second Line	:
City	:	SHERMAN OAKS
State	:	CA
Zip	:	91403-5842
Country	:	US
Telephone Number	:	619-795-9925
Fax Number	:	877-602-5087

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2026
Last Update Date	:	05/25/2026

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Directions to “ GLORIA MONICA HERNANDEZ ” Practice Location

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