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NPI Code Detail

MEDICARE: MR. ALEJANDRO HERNANDEZ P.A.-C

MEDICARE: MR. ALEJANDRO HERNANDEZ P.A.-C
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
1363A00000XPhysician AssistantPA14522CACA
2363AS0400XSurgical Physician AssistantPA14522CACA

General Provider Information

NPI Number : 1427161272
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ALEJANDRO HERNANDEZ P.A.-C
Provider Business Mailing Address
First Line : 3924 E. MICHIGHAN AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90063
Country : US
Telephone Number : 323-268-4110
Fax Number :
Provider Business Practice Location Address
First Line : 3851 S SOTO ST
Second Line :
City : VERNON
State : CA
Zip : 90058-1718
Country : US
Telephone Number : 323-585-7162
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2006
Last Update Date : 09/11/2025

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