MEDICARE: JOSHUA ELI HERNANDEZ GUERRERO APCC

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	101YM0800X	Mental Health Counselor	19819	CA

General Provider Information

NPI Number	:	1689530313
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA ELI HERNANDEZ GUERRERO APCC

Provider Business Mailing Address
First Line	:	169 SYCAMORE GROVE ST
Second Line	:
City	:	SIMI VALLEY
State	:	CA
Zip	:	93065-7341
Country	:	US
Telephone Number	:	805-208-2545
Fax Number	:

Provider Business Practice Location Address
First Line	:	645 TALBERT AVE
Second Line	:
City	:	SIMI VALLEY
State	:	CA
Zip	:	93065-5253
Country	:	US
Telephone Number	:	805-208-2545
Fax Number	:

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

Provider Enumeration Date	:	12/26/2025
Last Update Date	:	12/26/2025

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