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NPI Code Detail

MEDICARE: PAMELA HERNANDEZ LCSW

MEDICARE: PAMELA HERNANDEZ LCSW
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
11041C0700XClinical Social Worker135164CA

General Provider Information

NPI Number : 1346790383
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAMELA HERNANDEZ LCSW
Provider Business Mailing Address
First Line : 15519 CRENSHAW BLVD
Second Line :
City : GARDENA
State : CA
Zip : 90249-4525
Country : US
Telephone Number : 310-679-2880
Fax Number : 310-679-2920
Provider Business Practice Location Address
First Line : 15519 CRENSHAW BLVD
Second Line :
City : GARDENA
State : CA
Zip : 90249-4525
Country : US
Telephone Number : 310-679-2880
Fax Number : 310-679-2920
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2016
Last Update Date : 03/21/2026

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Directions to “ PAMELA HERNANDEZ LCSW” Practice Location

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