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NPI Code Detail

MEDICARE: ANDREA HERNANDEZ

MEDICARE: ANDREA HERNANDEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramCA

General Provider Information

NPI Number : 1003375171
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA HERNANDEZ
Provider Business Mailing Address
First Line : 10535 ROAD 35
Second Line :
City : MADERA
State : CA
Zip : 93636-8487
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1320 E SHAW AVE STE 110
Second Line :
City : FRESNO
State : CA
Zip : 93710-7905
Country : US
Telephone Number : 818-235-1414
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2019
Last Update Date : 12/08/2025

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Directions to “ ANDREA HERNANDEZ ” Practice Location

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