Healthcare Provider Details

I. General information

NPI: 1598483836
Provider Name (Legal Business Name): ALONDRA HERNANDEZ MA, LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/22/2022
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6059 DEERFORD ROW
LA JOLLA CA
92037-0904
US

IV. Provider business mailing address

1540 LA JOLLA RANCHO RD
LA JOLLA CA
92037-7844
US

V. Phone/Fax

Practice location:
  • Phone: 858-209-4270
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number143034
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: