Healthcare Provider Details

I. General information

NPI: 1154232338
Provider Name (Legal Business Name): ALONDRA HERRERA-CISNEROS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

930 F ST
WASCO CA
93280-2040
US

IV. Provider business mailing address

930 F ST
WASCO CA
93280-2040
US

V. Phone/Fax

Practice location:
  • Phone: 661-674-3377
  • Fax: 661-240-5840
Mailing address:
  • Phone: 661-674-3377
  • Fax: 661-240-5840

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: