Healthcare Provider Details

I. General information

NPI: 1275450413
Provider Name (Legal Business Name): JANET OLVERA HERNANDEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1341 N ESCONDIDO BLVD
ESCONDIDO CA
92026-2507
US

IV. Provider business mailing address

1341 N ESCONDIDO BLVD
ESCONDIDO CA
92026-2507
US

V. Phone/Fax

Practice location:
  • Phone: 760-578-2977
  • Fax:
Mailing address:
  • Phone: 760-578-2977
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246QM0706X
TaxonomyMedical Technologist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: