Healthcare Provider Details

I. General information

NPI: 1841154812
Provider Name (Legal Business Name): FLORENCIA GAYTAN HERNANDEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

377 CONNORS CT STE A
CHICO CA
95926-1138
US

IV. Provider business mailing address

377 CONNORS CT STE A
CHICO CA
95926-1138
US

V. Phone/Fax

Practice location:
  • Phone: 530-330-8017
  • Fax: 530-330-8018
Mailing address:
  • Phone: 530-330-8017
  • Fax: 530-330-8018

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code146N00000X
TaxonomyBasic Emergency Medical Technician
License NumberE164167
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: