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NPI Code Detail

MEDICARE: KIMBERLY RAE HERNANDEZ

MEDICARE: KIMBERLY RAE 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
11041C0700XClinical Social Worker131181CA

General Provider Information

NPI Number : 1891976205
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY RAE HERNANDEZ
Provider Business Mailing Address
First Line : 26137 LA PAZ RD STE 230
Second Line :
City : MISSION VIEJO
State : CA
Zip : 92691-5337
Country : US
Telephone Number : 949-595-8610
Fax Number : 949-595-0296
Provider Business Practice Location Address
First Line : 26137 LA PAZ RD STE 230
Second Line :
City : MISSION VIEJO
State : CA
Zip : 92691-5337
Country : US
Telephone Number : 949-591-8610
Fax Number : 949-595-0296
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2007
Last Update Date : 07/24/2025

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1538443312 — MS. HUI CHING LOW
Practice Location Address:
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92691-5337
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Practice Fax: 949-595-0296

Directions to “ KIMBERLY RAE HERNANDEZ ” Practice Location

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