Healthcare Provider Details

I. General information

NPI: 1861023426
Provider Name (Legal Business Name): MARIA HERRERA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/31/2020
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 6TH ST
WASCO CA
93280-1948
US

IV. Provider business mailing address

820 6TH ST
WASCO CA
93280-1948
US

V. Phone/Fax

Practice location:
  • Phone: 661-758-4029
  • Fax: 661-758-0891
Mailing address:
  • Phone: 559-588-8085
  • Fax: 661-758-0891

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberASW136946
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: