Healthcare Provider Details

I. General information

NPI: 1750266060
Provider Name (Legal Business Name): ALISHA ESTHER HERNANDEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2025
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23990 EUCALYPTUS AVE
MORENO VALLEY CA
92553-5504
US

IV. Provider business mailing address

862 ZEPPELIN CT
SAN JACINTO CA
92582-6226
US

V. Phone/Fax

Practice location:
  • Phone: 951-571-7500
  • Fax:
Mailing address:
  • Phone: 951-442-5071
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: