MEDICARE: BRENDA 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	106H00000X	Marriage & Family Therapist		CA

General Provider Information

NPI Number	:	1851701551
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRENDA HERNANDEZ

Provider Business Mailing Address
First Line	:	3540 LEXINGTON AVE
Second Line	:
City	:	EL MONTE
State	:	CA
Zip	:	91731-2608
Country	:	US
Telephone Number	:	626-453-3700
Fax Number	:

Provider Business Practice Location Address
First Line	:	3540 LEXINGTON AVE
Second Line	:
City	:	EL MONTE
State	:	CA
Zip	:	91731-2608
Country	:	US
Telephone Number	:	626-453-3700
Fax Number	:

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

Provider Enumeration Date	:	05/02/2014
Last Update Date	:	01/06/2026

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Directions to “ BRENDA HERNANDEZ ” Practice Location

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