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NPI Code Detail

MEDICARE: JOSHUA MANUEL HERNANDEZ

MEDICARE: JOSHUA MANUEL 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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1164360970
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSHUA MANUEL HERNANDEZ
Provider Business Mailing Address
First Line : 1150 S OLIVE ST STE 1200
Second Line :
City : LOS ANGELES
State : CA
Zip : 90015-2211
Country : US
Telephone Number : 213-505-4928
Fax Number :
Provider Business Practice Location Address
First Line : 1150 S OLIVE ST STE 1200
Second Line :
City : LOS ANGELES
State : CA
Zip : 90015-2211
Country : US
Telephone Number : 213-505-4928
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2026
Last Update Date : 03/23/2026

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Directions to “ JOSHUA MANUEL HERNANDEZ ” Practice Location

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