Healthcare Provider Details

I. General information

NPI: 1952860108
Provider Name (Legal Business Name): NORMA HERNANDEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2019
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43845 10TH ST W STE 1A
LANCASTER CA
93534-4800
US

IV. Provider business mailing address

43845 10TH ST W STE 1A
LANCASTER CA
93534-4800
US

V. Phone/Fax

Practice location:
  • Phone: 661-480-6443
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number40452
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: