Healthcare Provider Details

I. General information

NPI: 1184541088
Provider Name (Legal Business Name): DANIELLE CHRISTINE HERNANDEZ RAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11227 VALLEY BLVD STE 100
EL MONTE CA
91731-3299
US

IV. Provider business mailing address

6245 GRETNA AVE UNIT B
WHITTIER CA
90601-3130
US

V. Phone/Fax

Practice location:
  • Phone: 626-444-0705
  • Fax: 626-444-0710
Mailing address:
  • Phone: 626-607-7688
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: