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NPI Code Detail

MEDICARE: MARY D HERNANDEZ-ZEPEDA

MEDICARE: MARY D HERNANDEZ-ZEPEDA
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
1101YA0400XAddiction (Substance Use Disorder) CounselorH0412181605CA

General Provider Information

NPI Number : 1720139785
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY D HERNANDEZ-ZEPEDA
Provider Business Mailing Address
First Line : PO BOX 1000
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93302-1000
Country : US
Telephone Number : 661-868-6600
Fax Number : 661-868-6666
Provider Business Practice Location Address
First Line : 17695 INDUSTRIAL FARM RD
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93308-9520
Country : US
Telephone Number : 661-391-5371
Fax Number : 661-391-7886
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2007
Last Update Date : 04/21/2015

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Directions to “ MARY D HERNANDEZ-ZEPEDA ” Practice Location

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