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NPI Code Detail

MEDICARE: REGINA HERNANDEZ

MEDICARE: REGINA 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
1106H00000XMarriage & Family Therapist152320CA

General Provider Information

NPI Number : 1174262612
Entity Type Code : Individual
Provider Name (Legal Business Name) : REGINA HERNANDEZ
Provider Business Mailing Address
First Line : PO BOX 9145
Second Line :
City : WHITTIER
State : CA
Zip : 90608-9145
Country : US
Telephone Number : 562-447-6219
Fax Number :
Provider Business Practice Location Address
First Line : 2740 W MAGNOLIA BLVD UNIT 101
Second Line :
City : BURBANK
State : CA
Zip : 91505-3050
Country : US
Telephone Number : 626-507-4466
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2022
Last Update Date : 02/23/2026

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Directions to “ REGINA HERNANDEZ ” Practice Location

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