Healthcare Provider Details

I. General information

NPI: 1023926052
Provider Name (Legal Business Name): AMANECER MENTAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5439 9TH AVE
LOS ANGELES CA
90043-2521
US

IV. Provider business mailing address

5439 9TH AVE
LOS ANGELES CA
90043-2521
US

V. Phone/Fax

Practice location:
  • Phone: 909-293-9060
  • Fax:
Mailing address:
  • Phone: 909-293-9060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSE ALBERTO HERNANDEZ
Title or Position: OWNER
Credential: PHD
Phone: 213-258-7290