Healthcare Provider Details

I. General information

NPI: 1902760341
Provider Name (Legal Business Name): ADRIAN HERNANDEZ LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20700 VENTURA BLVD STE 235
WOODLAND HILLS CA
91364-6650
US

IV. Provider business mailing address

20700 VENTURA BLVD STE 235
WOODLAND HILLS CA
91364-6650
US

V. Phone/Fax

Practice location:
  • Phone: 951-392-6260
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW131843
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: